2016
KENTUCKY
PROVIDER DIRECTORY
Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves,
Hickman, Livingston, Lyon, Marshall, McCracken
KY034389_CAD_PRD_MLT State Approved 12262013
©WellCare 2016 KY_06_16
KY6R01DIR76159M_0616
Table of Contents
Provider Directory
Introduction
How to Read Our Provider Listings
Icon Guide
I
II
II
List of Plan Providers
Primary Care Physicians
Ballard
Caldwell
Calloway
Carlisle
Crittenden
Fulton
Graves
Hickman
Livingston
Lyon
Marshall
McCracken
Specialty Physicians
Caldwell
Calloway
Carlisle
Crittenden
Fulton
Graves
Livingston
Lyon
Marshall
McCracken
Hospitals
Caldwell
Calloway
Crittenden
Graves
Livingston
1
2
3
5
6
7
8
9
10
11
12
14
18
20
27
28
29
30
33
34
35
38
61
62
63
64
65
KY6R01DIR76159M_0616
Table of Contents
List of Plan Providers
Hospitals
Marshall
McCracken
Behavioral Health
Ballard
Caldwell
Calloway
Carlisle
Graves
McCracken
Ancillary Providers
All
Ballard
Caldwell
Calloway
Crittenden
Fulton
Graves
Hickman
Livingston
Lyon
Marshall
McCracken
Allied Providers
Ballard
Caldwell
Calloway
Carlisle
Crittenden
Fulton
Graves
Livingston
Lyon
Marshall
66
67
68
69
71
72
73
75
78
79
80
81
82
83
84
85
86
87
88
89
92
93
94
97
98
99
100
102
103
104
Table of Contents
List of Plan Providers
Allied Providers
McCracken
Pharmacy
Ballard
Caldwell
Calloway
Carlisle
Crittenden
Fulton
Graves
Hickman
Livingston
Lyon
Marshall
McCracken
107
122
123
124
125
126
127
128
129
130
131
132
133
Indexes
Alternate Languages Index
Specialty Provider At-A-Glance
Extended Hours Index
Provider Index
135
136
140
143
Here is your WellCare of Kentucky provider directory. It lists all of the providers in our network.
These providers include:
• Primary care providers (PCPs) and specialists
• Hospitals
• Pharmacies
Each of these providers will make his or her own decisions about the care you need. WellCare
of Kentucky is not responsible for these decisions. Some providers may not perform certain
services due to their religious or moral beliefs.
We've listed all of the providers by county. Then we've grouped them together by the type of
care or services they give. We've also included:
• The providers' addresses and phone numbers
• Symbols to tell you whether the provider is accepting new patients, board certified or
wheelchair accessible
We have a provider look-up tool on our website. Go to www.wellcare.com/Kentucky. Then
click on the "Find a Provider" icon. You'll be able to search for providers right in your area.
This is the best place to get our most current directory information.
Call us if you have questions about this directory. We can help you find a provider. We can
even help set up an appointment for you. Our toll-free number is 1-877-389-9457. TTY/TDD
users can call 1-877-247-6272. You can reach us Monday-Friday, 7 a.m. to 7 p.m.
We wish you good health.
www.wellcare.com/Kentucky | I
How to Read Our Provider Listings
Indicates provider is board certified
Indicates provider has wheelchair access
Provider name
Smith, Joe, MD
Provider ID: 111111
Practice name
Your Family Medical Center
Provider gender
Male
Provider
address and
phone number
{
Indicates provider is not
accepting new patients
123 Main Street
Anytown, FL 12345
(555) 555-5555
00 Yrs/99 Yrs
Ages of patients seen by provider
Sunshine Hospital
Hospital the provider is associated with
Language: Spanish
Language spoken by provider or staff
9:00 am-5:00 pm
Hours of operation
PCMH: YES/NO. Level 1, 2, 3
Takes part in the PCMH* Model
Icon Guide
Indicates provider is board certified
Indicates provider has wheelchair access
Indicates provider is not accepting new patients
*PCMH stands for Patient Centered Medical Home. This is a way of giving care that
involves a team of health care professionals. The team works together to meet the needs
of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and
Level 3 (highest).
www.wellcare.com/Kentucky | II
Este es su directorio de proveedores de WellCare of Kentucky. Allí se listan todos los
proveedores en nuestra red. Estos proveedores incluyen:
• Proveedores de cuidado primario (PCP) y especialistas
• Hospitales
• Farmacias
Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted
necesita. WellCare of Kentucky no es responsable de esas decisiones. Es posible que algunos
proveedores no proporcionen ciertos servicios debido a sus creencias religiosas y morales.
Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de
cuidado o servicios que ofrecen. También hemos incluido:
• Las direcciones y los números de teléfono de los proveedores
• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado
por una junta o si cuenta con acceso para silla de ruedas
En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite
www.wellcare.com/Kentucky. Luego haga clic en el icono “Find a Provider” (Buscar un
proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar
para obtener nuestra información de directorio más actual.
Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un
proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es
1-877-389-9457. Los usuarios de TTY/TDD pueden llamar al 1-877-247-6272. Puede comunicarse
con nosotros de lunes a viernes de 7 a.m. a 7 p.m.
Le deseamos una buena salud.
www.wellcare.com/Kentucky | III
Cómo leer nuestros listados de proveedores
Indica que el proveedor es certificado
por la junta médica
Indica que el proveedor tiene
acceso para silla de ruedas
Nombre del proveedor
Smith, Joe, MD
Provider ID: 111111
Nombre de la práctica
Your Family Medical Center
Sexo del proveedor
Male
Dirección y número
de teléfono del
proveedor
{
Indica que el proveedor no está
aceptando a nuevos pacientes
123 Main Street
Anytown, FL 12345
(555) 555-5555
00 Yrs/99 Yrs
Edades de pacientes vistos por el proveedor
Sunshine Hospital
Hospital con el que está asociado el proveedor
Language: Spanish
Idioma hablado por el proveedor o personal
9:00 am-5:00 pm
Horario de atención
PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH*
Guía de íconos
Indica que el proveedor es certificado por la junta médica
Indica que el proveedor tiene acceso para silla de ruedas
Indica que el proveedor no está aceptando a nuevos pacientes
*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar
cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en
conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados
a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).
www.wellcare.com/Kentucky | IV
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español
Inglés
Español
Inglés
Acupuntura
Acupuncture
Psiquiatría de
adicciones
Medicina para
adolescentes
Addiction Psychiatry
Electrofisiología
cardíaca
Cardiac
Electrophysiology
Monitoreo cardíaco
Cardiac Monitoring
Cardiología
Cardiology
Servicios de
acompañante para
adultos
Cuidado diurno para
adultos
Hogar de cuidado
sustituto para adultos
Adult Companion
Services
Cuidado médico
diurno para adultos
Adult Medical Day
Care
Cuidado residencial
para adultos
Administración de
casos enfocados
en adultos
Adult Residential
Care Home
Adult Targeted Case
Management
Adolescent
Medicine
Adult Day Care
Adult Foster Care
Home
Centro para tratar
AIDS Center
el SIDA
Alergias e inmunología Allergy & Immunology
Centro de cirugía
ambulatoria
Servicios de vida
asistida
Audiología
Ambulatory Surgery
Center
Assisted Living
Services
Audiology
Asesoramiento
en salud del
comportamiento
Centro de salud del
comportameinto
Behavioral Health
Counseling
Behavioral Health
Facility
Centro de maternidad Birthing Center
Laboratorio de
Cardiac Cath
cateterismo cardíaco Laboratory
Cirugía cardiovascular Cardiovascular
Surgery
Cirugía cardiovascular Cardiovascular
Surgery
Servicios de
Case Management
administración
Services
de casos
Pediatría de abuso
Child Abuse
infantil
Pediatrics
Centro de desarrollo Child Development
para niños
Center
Administración de
Children Targeted
casos enfocados
Case Management
en niños
Niños con necesidades Children With
especiales de cuidado Special Health Care
de la salud
Needs
Quiropráctica
Chiropractic
Servicios de tareas
Chore/Housekeeping
domésticas y limpieza Services
del hogar
Clínica
Clinic
Neurofisiología
clínica
Cirugía de colon
y recto
Centro de salud
comunitario
Centro de salud
mental comunitario
Junta de servicios
a la comunidad
www.wellcare.com/Kentucky | V
Clinical
Neurophysiology
Colon & Rectal
Surgery
Community Health
Center
Community Mental
Health Center
Community Service
Board
Español
Inglés
Español
Inglés
Cirugía cardíaca
congénita
Congenital Cardiac
Surgery
Servicios de
suministros médicos
descartables
Clínica de cuidado
conveniente
Hospital de acceso
crítico
Odontología
Consumable Medical
Supply Services
Planificación familiar
Medicina familiar
Servicios de
capacitación familiar
Family Planning
Family Practice
Family Training
Services
Convenient Care
Clinic
Critical Access
Hospital
Dentistry
Dermatología
Dermatology
Dermatopatología
Dermatopathology
Centro designado
para el sida
Educación sobre
la diabetes
Centro de diagnóstico
y tratamiento
Centro de diagnóstico
Designated Aids
Center
Diabetes Education
Diagnóstico por
imágenes
Diálisis
Diagnostic Imaging
Diagnostic And
Treatment Center
Diagnostic Center
Dialysis
Equipo médico
Durable Medical
duradero
Equipment
Otorrinolaringología Ear, Nose & Throat
Endocrinología,
diabetes,
metabolismo
Endodoncia
Servicios de
adaptaciones de
accesibilidad al
entorno
Servicios especiales
de EPSDT
Servicios de
acompañante
Endocrinology,
Diabetes,
Metabolism
Endodontics
Environmental
Accessibility
Adaptation Services
EPSDT Special
Services
Escort Services
Centro de salud con Federally Qualified
calificación federal
Health Center
Servicios de
Financial Risk
evaluación/reducción Assessment/Risk
de riesgos financieros Reduction Services
Centro de aptitud
física
Gastroenterología
Fitness Center
Gastroenterología
y hepatología
Gastroenterology &
Hepatology
Medicina general
General Practice
Cirugía general
General Surgery
Asesoramiento
genético
Genetic Counseling
Medicina geriátrica
Geriatric Medicine
Psiquiatría geriátrica
Geriatric Psychiatry
Oncología
ginecológica
Ginecología
Cirugía de la mano
Gynecological
Oncology
Gynecology
Hand Surgery
Oncología de cabeza
y cuello
Cirugía de cabeza
y cuello
Control de la
seguridad de la salud
Head & Neck
Oncology
Head & Neck
Surgery
Health Safety
Monitoring
Proveedor de
audífonos
Terapia y especialista
en audífonos
Hematología
Hearing Aid Supplier
www.wellcare.com/Kentucky | VI
Gastroenterology
Hearing Aid Therapy
& Specialist
Hematology
Español
Inglés
Español
Inglés
Hematología
y oncología
Hematology &
Oncology
Mobile Diagnostic
VIH/SIDA
HIV/AIDS
Diagnóstico con
equipos portátiles
MRI, equipos abiertos
Medicina perinatal
neonatal
Nefrología
MRI Open
Neonatal Perinatal
Medicine
Nephrology
Neurooncología
Neuro Oncology
Discapacidades
del desarrollo
neurológico
Neurodiagnóstico
Neurodevelopmental
Disabilities
Neurodiagnostic
Neurología
Neurology
Comidas entregadas Home-Delivered
a domicilio
Meals
Cuidado de la salud Home Health Care
en el hogar
Hospicio
Hospice
Cuidado de hospicio Hospice & Palliative
y paliativo
Care
Hospital
Hospital
Servicios de limpieza Housekeeping/
del hogar y tareas
Chore Services
domésticas
Medicina hiperbárica Hyperbaric Medicine
Neurología/otología Neurology/Otology
Enfermedades
infecciosas
Terapia de infusión
Infectious Disease
Medicina
neuromuscular
Neurooncología
Infusion Therapy
Neuropsicología
Neuropsychology
Medicina interna
Internal Medicine
Neurorradiología
Neuroradiology
Neurocirugía
Neurosurgery
Pruebas de laboratorio Laboratory
de patología
Pathology Testing
Neuromuscular
Medicine
Neuro-Oncology
Agencia licenciada
de servicios de
cuidado en el hogar
Licensed Home Care
Service Agency
Servicios de transporte Non-Emergency
sin carácter de
Transportation
emergencia
Cardiología nuclear Nuclear Cardiology
Litotripsia
Lithotripsy
Medicina nuclear
Nuclear Medicine
Radiología nuclear
Nuclear Radiology
Enfermeras parteras
Nutrición
Obstetricia
Obstetricia/
Ginecología
Medicina ocupacional
Nurse Midwife
Nutrition
Obstetrics
Obstetrics/
Gynecology
Occupational
Medicine
Occupational Therapy
Ophthalmology
Imágenes por
Magnetic Resonance
resonancia magnética Imaging
Mamografía
Mammography
Masoterapia
Massage Therapy
Medicina
maternofetal
Genética médica
Maternal Fetal
Medicine
Medical Genetics
Oncología médica
Medical Oncology
Administración de
medicamentos
Medication
Administration
Terapia ocupacional
Oftalmología
www.wellcare.com/Kentucky | VII
Español
Inglés
Español
Inglés
Óptico
Optometría
Cirugía oral y
maxilofacial
Ortodoncia
Cirugía ortopédica
Ortésica
Ortopedia y
prostética
Establecimiento
quirúrgico
para pacientes
ambulatorios
Tratamiento del
dolor
Apoyo para el
tratamiento del
el dolor
Alergias e inmunología
pediátricas
Medicina pediátrica
del comportamiento
Monitoreo cardíaco
pediátrico
Cardiología pediátrica
Cirugía cardiovascular
pediátrica
Dermatología
pediátrica
Otorrinolaringología
pediáatrica
Endocrinología
pediátrica
Gastroenterología
pediátrica
Optician
Optometry
Oral & Maxillofacial
Surgery
Orthodontics
Orthopaedic Surgery
Orthotics
Orthotics &
Prosthetics
Outpatient Surgical
Facility
Hematología/
Pediatric Hematology/
oncología pediátricas Oncology
Genética pediátrica
Pediatric Genetics
Enfermedades
Pediatric Infectious
infecciosas pediátricas Disease
Nefrología pediátrica Pediatric Nephrology
Neurología pediátrica Pediatric Neurology
Neurocirugía
pediátrica
Pediatric Neurosurgery
Oncología pediátrica Pediatric Oncology
Oftalmología
Pediatric
pediátrica
Ophthalmology
Ortopedia pediátrica Pediatric Orthopaedics
Pain Management
Cirugía ortopédica
pediátrica
Pain Management
Support
Psiquiatría pediátrica Pediatric Psychiatry
Pediatric Orthopedic
Surgery
Neumonología
pediátrica
Pediatric Pulmonology
Medicina de
rehabilitación
pediátrica
Pediatric Rehabilitation
Medicine
Pediatric Cardiac
Monitoring
Pediatric Cardiology
Pediatric Cardiovascular
Surgery
Pediatric Dermatology
Reumatología
pediátrica
Pediatric
Rheumatology
Medicina deportiva
pediátrica
Pediatric Sports
Medicine
Cirugía pediátrica
Pediatric Surgery
Pediatric Ear, Nose
& Throat
Pediatric
Endocrinology
Pediatric
Gastroenterology
Urología pediátrica
Pediatric Urology
Pediatría
Pediatrics
Comportamiento y
desarollo pediátrico
Pediatrics Behavioral
& Developmental
Pedodoncia
Periodoncia
Pedodontics
Periodontics
Pediatric Allergy
& Immunology
Pediatric Behavioral
Medicine
Hepatología pediátrica Pediatric Transplant
y trasplante
Hepatology
www.wellcare.com/Kentucky | VIII
Español
Inglés
Servicios de cuidado Personal Care
personal
Services
Servicios personales
de respuesta de
emergencias
Personal Emergency
Response System
Farmacia
Pharmacy
Medicina física
y rehabilitación
Physical Medicine
& Rehabilitation
Terapia física
Physical Therapy
Laboratorio de
fisiología
Physiological Lab
Cirugía plástica y
reconstructiva
Plastic &
Reconstructive
Surgery
Podiatría
Podiatry
Medicina preventiva Preventive Medicine
Centro de cuidado
primario
Primary Care Center
Aparatos protésicos
Prosthetics
Prostodoncia
Prosthodontics
Psiquiatría
Psychiatry
Psicología
Psychology
Medicina
psicosomática
Psychosomatic
Medicine
Enfermedad
pulmonar
Oncología
radioterápica
Radioterapia
Pulmonary Disease
Centro de
radioterapia
Radiation Therapy
Center
Radiología
intervencional
y vascular
Radiology Interventional &
Vascular
Radiation Oncology
Radiation Therapy
Español
Inglés
Centro de
rehabilitación
Medicina de
rehabilitación
Terapia de
rehabilitación
Endocrinología
reproductiva
Terapia respiratoria
Rehabilitation
Facility
Rehabilitation
Medicine
Rehabilitation
Therapy
Reproductive
Endocrinology
Respiratory Therapy
Servicios de cuidado Respite Care
de relevo
Services
Reumatología
Rheumatology
Centro de salud rural Rural Health Center
Cuidado autodirigido Self-Directed Care
Centro de enfermería
especializada
Estudios de diagnóstico
del sueño
Medicina del sueño
Skilled Nursing
Facility
Sleep Diagnostic
Studies
Sleep Medicine
Cuidado diurno
social
Terapia del habla
Social Day Care
Medicina para
lesiones de médula
espinal
Medicina deportiva
Spinal Cord Injury
Medicine
Sports Medicine
Cuidado subagudo
Sub-Acute Care
Speech Therapy
Abuso de sustancias Substance Abuse
Oncología quirúrgica Surgical Oncology
Monitoreo
telecardíaco
Cirugía torácica
y cardiovascular
Tele-Cardiac
Monitoring
Thoracic &
Cardiovascular Surgery
Cirugía torácica
Thoracic Surgery
www.wellcare.com/Kentucky | IX
Español
Inglés
Español
Inglés
Tórax/sistema
vascular
Hepatología de
trasplante
Thoracic/Vascular
Oncología urológica
Urology Oncology
Centro de cuidado
urgente
Urgent Care Center
Urología
Urology
Transplant
Hepatology
Urología/ginecología Urology/Gynecology
Laboratorio vascular Vascular Lab
Medicina vascular
Vascular Medicine
Cirugía vascular
Vascular Surgery
*These are only some of the provider types. You can find a specific kind of provider in the
Specialty Index. It can be found in the back of this book.
*Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico
de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.
www.wellcare.com/Kentucky | X
List of Plan Providers
06/01/2016
Primary Care Physicians
Ballard
Family Practice
Allen, Henry MD
Provider ID: 1139543
Gender: Male
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Brazzell, John MD
Provider ID: 1139545
Gender: Male
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Graves, Kevin DO
Provider ID: 1135073
Gender: Male
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Federally Qualified
Health Center
Arcare
Provider ID: 1211653
Ky Care 112
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Butler, Danny MD
Provider ID: 627461
Gender: Male
Dr Butler Associates
PLLC
134 Phillips Dr
Wickliffe, KY 42087
(270) 335-3335
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Smith, David MD
Provider ID: 1139599
Gender: Male
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 1
06/01/2016
Primary Care Physicians
Caldwell
Family Practice
Cash, Ralph MD
Provider ID: 596069
Gender: Male
Cash Family Practice
PLLC
302 Micbeth Dr
Princeton, KY 42445
(270) 365-1225
Fax: (270) 365-1252
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Crump, William MD
Provider ID: 759008
Gender: Male
Baptist Health Medical
Group
605 S Jefferson St
Princeton, KY 42445
(270) 365-2037
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Perry, Jami MD
Provider ID: 625874
Gender: Female
Perry Family Medical
407 Hwy 62 W
Princeton, KY 42445
(270) 365-9455
Fax: (270) 365-9456
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Perry, Jami MD
Provider ID: 662326
Gender: Female
Perry Family Medical
605 S Jefferson St
Princeton, KY 42445
(270) 365-9455
Fax: (270) 365-9456
00 Yrs/99 Yrs
Caldwell County
Hospital Home Health
Age
MTWTHFSat 8:00 AM 5:00 PM
PCMH: No
Graham, Scott MD
Provider ID: 1138837
Rey, Jonathan MD
Gender: Male
Provider ID: 757705
Family Practice Care LLC Gender: Male
700 Cassidy Ave
310 Hawthorne St
Fredonia, KY 42411
Princeton, KY 42445
(270) 545-3386
(270) 365-0227
Fax: (270) 545-3712
Fax: (270) 365-2559
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Languages: Spanish
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
Maddux, H MD
Provider ID: 606301
Gender: Male
Family Practice Clinic
PSC
1011 W Main St Ste B
Princeton, KY 42445
(270) 365-2110
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Spilkin, Simon MD
Provider ID: 629041
Gender: Male
310 Hawthorne St
Princeton, KY 42445
(270) 365-0227
Fax: (270) 365-2559
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
Languages: Afrikaans
M-F 9:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Littlejohn, Charles MD
Provider ID: 595247
Gender: Male
Settle Littlejohn Medical
Offices
1100 S Jefferson St
Princeton, KY 42445
(270) 365-3343
Fax: (270) 365-4467
00 Yrs/99 Yrs
MTTHF 8:30 AM - 4:30
PM
WSat 8:30 AM - 5:00 PM
PCMH: No
Shah, Pankajkumar MD
Provider ID: 1075222
Gender: Male
Pennyroyal Healthcare
Services, Inc
310 Hawthorne St
Princeton, KY 42445
(270) 365-0227
Fax: (270) 365-2559
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 2
Pediatrics
Littlejohn, Charles MD
Provider ID: 595247
Gender: Male
Settle Littlejohn Medical
Offices
1100 S Jefferson St
Princeton, KY 42445
(270) 365-3343
Fax: (270) 365-4467
00 Yrs/99 Yrs
MTTHF 8:30 AM - 4:30
PM
WSat 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Calloway
Family Practice
Adams, T Michael MD
Provider ID: 626040
Gender: Male
Primary Care Medical
Center
1000 South 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Ford, Alison MD
Provider ID: 633826
Gender: Female
Murray Calloway Co
Public Hospital Corp
300 S 8th St Ste 480W
Murray, KY 42071
(270) 753-0704
Fax: (270) 752-2852
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 8:00 PM
PCMH: No
Butler, Daniel MD
Gupton, Emily DO
Provider ID: 626058
Provider ID: 627642
Gender: Male
Gender: Female
Primary Care Medical
Primary Care Medical
Center PSC
Center
1000 S 12th St
1000 S 12th St
Murray, KY 42071
Murray, KY 42071
(270) 759-9200
(270) 759-9200
Fax: (270) 759-9966
Fax: (270) 759-9966
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Jackson Purchase
M-F 9:00 AM - 5:00 PM
Medical Center
PCMH: No
Murray Calloway County
Hospital
Heffley, Susan MD
M-F 8:00 AM - 5:00 PM
Provider ID: 627652
PCMH: No
Gender: Female
Primary Care Medical
Crouch, Richard MD
Center
Provider ID: 633610
1000 S 12th St
Gender: Male
Murray, KY 42071
Murray Calloway
(270) 759-9200
300 S 8th St Ste 480 W
Fax: (270) 759-9966
Murray, KY 42071
00 Yrs/99 Yrs
(270) 753-0704
M-F 9:00 AM - 5:00 PM
Fax: (270) 752-2852
PCMH: No
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 8:00 PM
PCMH: No
Hughes, Robert MD
Provider ID: 627410
Gender: Male
Primary Care Medical
Center
1000 S 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Clark, Hollis MD
Provider ID: 627507
Gender: Male
Primary Care Medical
Center
1000 S 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Robinson, William MD
Clark, Hollis MD
Provider ID: 627508
Gender: Male
Sleep Source Inc
100 N 6th St
Murray, KY 42071
(270) 761-0080
Fax: (270) 761-0081
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 606215
Gender: Male
Murray Calloway Co
Public Hospital Corp
300 S 8th St Ste 480 W
Murray, KY 42071
(270) 753-0704
Fax: (270) 752-2852
00 Yrs/99 Yrs
Murray Calloway County
Fisher, Valerie MD
Hospital
Provider ID: 1180660
M-F 8:00 AM - 5:00 PM
Gender: Female
PCMH: No
Murray Calloway Co
Internal Medicine
Public Hospital Corp
300 S 8th St Ste 480W
Blalock, Richard MD
Murray, KY 42071
Provider ID: 627405
(270) 753-0704
Gender: Male
Fax: (270) 752-2852
Primary Care Medical
00 Yrs/99 Yrs
Center
M-F 8:00 AM - 5:00 PM
1000 S 12th St
Sat 8:00 AM - 12:00 PM
Murray, KY 42071
PCMH: No
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 3
06/01/2016
Primary Care Physicians
Calloway
Internal Medicine - cont.
Pediatrics
Cates, Heath MD
Provider ID: 1174860
Kelly, Patrick MD
Austin, Clegg MD
Gender: Female
Provider ID: 627448
Provider ID: 599097
Murray Pediatrics
Gender: Male
Gender: Male
300 S 8th St Ste 208E
Primary Care Medical
Murray Calloway County Murray, KY 42071
Center
Public Hospital
(270) 759-9223
1000 S 12th St
300 S 8th St Ste 208E
Fax: (270) 753-7345
Murray, KY 42071
Murray, KY 42071
00 Yrs/99 Yrs
(270) 759-9200
(270) 759-9223
M-F 8:00 AM - 5:00 PM
Fax: (270) 759-9966
Fax: (270) 753-7345
PCMH: No
12 Yrs/99 Yrs
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
Murray Calloway County Milo, Jackie MD
Hospital
PCMH: No
Provider ID: 599500
M-F 9:00 AM - 5:00 PM
Gender: Female
Miller, Daniel MD
PCMH: No
Murray Calloway County
Provider ID: 594629
Public Hospi
Burch, Kimberly MD
Gender: Male
300 S 8th St Ste 208E
Provider ID: 670972
Dan Miller MD
Murray, KY 42071
Gender: Female
312 S 8th St
(270) 759-9223
Primary Care Medical
Murray, KY 42071
Fax: (270) 753-7345
Center PSC
(270) 753-2395
00 Yrs/21 Yrs
1000 S 12th St
Fax: (270) 759-4745
Murray Calloway County
Murray, KY 42071
13 Yrs/99 Yrs
Hospital
Murray Calloway County (270) 759-9200
M-F 8:00 AM - 5:00 PM
Fax: (270) 759-9966
Hospital
PCMH: No
00 Yrs/18 Yrs
MTTHF 8:30 AM - 4:00
PM
M-F 8:00 AM - 5:00 PM
W 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
Cates, Heath MD
Odell, Nicholas MD
Provider ID: 1143028
Gender: Female
Provider ID: 1020839
Murray Pediatrics
Gender: Male
300 S 8th St Ste 208E
Physician Specialists of
Murray, KY 42071
Murray
(270) 159-9223
300 S 8th St Ste 480W
Fax: (270) 753-7345
Murray, KY 42071
00 Yrs/99 Yrs
(270) 762-1515
M-F 8:00 AM - 5:00 PM
Fax: (270) 767-3640
Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
PCMH: No
Murray Calloway County
Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 4
06/01/2016
Primary Care Physicians
Carlisle
Family Practice
Brazzell, John MD
Provider ID: 700443
Gender: Male
Ar Care
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
02 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 3
Graves, Kevin DO
Provider ID: 1135076
Gender: Male
Arcare
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Zetter, David MD
Provider ID: 606170
Gender: Male
David R Zetter MD Inc
Hwy 80 E
Arlington, KY 42021
(270) 655-6231
Fax: (270) 655-5900
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
MTWF 8:30 AM - 5:00
PM
TH 8:30 AM - 12:00 PM
PCMH: No
Smith, David MD
Provider ID: 1061621
Gender: Male
Arcare
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 5
06/01/2016
Primary Care Physicians
Crittenden
Family Practice
James, Gary MD
Provider ID: 606296
Gender: Male
Crittenden Health
Systems Emergency
520 W Gum St
Marion, KY 42064
(270) 965-1040
Fax: (270) 965-1041
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
James, Gary MD
Provider ID: 627676
Gender: Male
Family Practice Clinic
PSC
518 W Gum St
Marion, KY 42064
(270) 965-5238
Fax: (270) 965-9015
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Maddux, H MD
Provider ID: 606300
Gender: Male
Crittenden Health
Systems Emergency
520 W Gum St
Marion, KY 42064
(270) 965-1040
Fax: (270) 965-1041
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Maddux, Howard MD
Provider ID: 627677
Gender: Male
Family Practice Clinic
PSC
518 W Gum St
Marion, KY 42064
(270) 965-5238
Fax: (270) 965-9015
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Maddux, Jonathan MD
Provider ID: 627581
Gender: Male
Family Practice Clinic
PSC
518 W Gum St
Marion, KY 42064
(270) 965-5238
Fax: (270) 965-9015
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Starkey, Anthony MD
Provider ID: 1140715
Gender: Male
Marion Wellness Center
PSC
789 Chapel Hill Rd
Marion, KY 42064
(270) 965-2005
Fax: (270) 965-2021
00 Yrs/99 Yrs
MTH 9:00 AM - 5:00 PM
T 9:30 AM - 3:00 PM
W 10:00 AM - 5:00 PM
PCMH: No
General Practice
Internal Medicine
Barnes, William MD
Yazigi, Ghassan MD
Provider ID: 1026967
Provider ID: 595198
Gender: Male
Tririvers Healthcare PLLC Gender: Male
Tri Rivers Healthcare
110 Country Club Dr
PLLC
Marion, KY 42064
308 S Main St
(270) 965-1085
Marion, KY 42064
Fax: (270) 965-0981
(270) 965-4377
02 Yrs/99 Yrs
Fax: (270) 965-9569
Livingston Hospital &
12 Yrs/99 Yrs
Healthca
Livingston Hospital &
M-F 9:00 AM - 5:00 PM
Healthca
PCMH: No
M-F 9:00 AM - 5:00 PM
Barnes, William MD
PCMH: No
Provider ID: 595018
Rural Health Center
Gender: Male
Tririvers Healthcare PLLC
Tri-Rivers Healthcare
308 S Main St
PLLC
Marion, KY 42064
Provider ID: 1211709
(270) 965-4377
Marion Physicians Clinic
Fax: (270) 965-9569
308 S Main St
02 Yrs/99 Yrs
Marion, KY 42064
Crittenden County
(270) 965-4377
Hospital
Fax: (270) 965-9569
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Gavin, Michael MD
Provider ID: 595043
Gender: Male
Tri River Healthcare PLLC
308 S Main St
Marion, KY 42064
(270) 965-4377
Fax: (270) 965-9569
02 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 6
06/01/2016
Primary Care Physicians
Fulton
Family Practice
Internal Medicine
Benigno, Daisy MD
Cox, F MD
Provider ID: 1164686
Provider ID: 618285
Gender: Female
Gender: Male
Jackson Purchase Primary Hospital of Fulton
Care Hickm
2006 Holiday Ln Ste 100
2003 South 7th St
Fulton, KY 42041
Hickman, KY 42050
(270) 472-1612
(270) 236-3337
Fax: (270) 472-2095
Fax: (270) 236-3340
00 Yrs/99 Yrs
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
PCMH: No
PCMH: No
Pediatrics
Benigno, Daisy MD
Malik, Nasira MD
Provider ID: 1165434
Provider ID: 618293
Gender: Female
Gender: Female
Parkway Regional
Hospital of Fulton Inc
Medical Clinic Inc
2006 Holiday Ln Ste 100
2003 S 7th St
Fulton, KY 42041
Hickman, KY 42050
(270) 472-1612
(270) 236-3202
Fax: (270) 472-2095
Fax: (270) 236-9597
00 Yrs/18 Yrs
00 Yrs/99 Yrs
MWTHF 9:00 AM - 5:00
M-F 8:00 AM - 5:00 PM
PM
PCMH: No
T 9:00 AM - 12:00 PM
General Practice
PCMH: No
Malik, Indu MD
Provider ID: 594903
Gender: Female
Indu B Malik MD
227 Commercial Ave
Fulton, KY 42041
(270) 472-3262
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 5:00 PM
Sun 9:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 7
06/01/2016
Primary Care Physicians
Graves
Family Practice
Braxton, Thomas MD
Dobrose, Christopher
MD
Provider ID: 642223
Gender: Male
Pinelake Physician
Practice LLC
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4059
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 8:00 AM - 4:30 PM
PCMH: No
Provider ID: 632500
Gender: Male
Pinelake Physician
Practice LLC
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4086
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-W 8:00 AM - 6:30 PM
Jones, Dale MD
TH 8:00 AM - 6:00 PM
Provider ID: 606204
PCMH: No
Gender: Male
Carrico, Jeffrey MD
Dale E Jones MD
Provider ID: 599185
1029 Medical Center Cir
Gender: Male
Ste 200
Western Kentucky
Mayfield, KY 42066
Family Healthcare
(270) 251-4545
1209 S 10th St
Fax: (270) 251-4646
Mayfield, KY 42066
00 Yrs/99 Yrs
(270) 251-3223
Jackson Purchase
Fax: (270) 251-3220
Medical Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Jackson Purchase
PCMH: No
Medical Center
M-F 8:00 AM - 5:00 PM Stone, Richard DO
Provider ID: 919243
PCMH: No
Gender: Male
Carrico, Jeffrey MD
Stone Family Practice
PLLC
Provider ID: 599186
1029 Medical Center Cir
Gender: Male
Ste 200
Western Kentucky
Mayfield, KY 42066
Family Healthcare
(270) 251-4545
318 S 7th St
Fax: (270) 251-4086
Mayfield, KY 42066
00 Yrs/99 Yrs
(270) 251-3223
Jackson Purchase
Fax: (270) 251-3220
Medical Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Jackson Purchase
PCMH: No
Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Williams, Patricia MD
Provider ID: 618309
Gender: Female
Patricia Mary Williams
MD
110 S 9th St
Mayfield, KY 42066
(270) 247-7795
Fax: (270) 247-2602
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Woods, Tanya MD
Provider ID: 987990
Gender: Female
Pinelake Physician
Practice LLC
1029 Medical Center Cir
Ste 200
Mayfield, KY 42066
(270) 251-4055
Fax: (270) 251-4059
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Pediatrics
Hussain, Abid MD
Provider ID: 614339
Gender: Male
Mayfield Pediatric Clinic
417 S 6th St
Mayfield, KY 42066
(270) 247-1104
Fax: (270) 241-1107
00 Yrs/21 Yrs
Twin Lakes Regional Med
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 8
06/01/2016
Primary Care Physicians
Hickman
Family Practice
Smith, Bruce MD
Provider ID: 609848
Gender: Male
308 S Washington St Ste
200
Clinton, KY 42031
(270) 653-0220
Fax: (270) 653-0221
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:00 PM
F 8:00 AM - 11:00 PM
PCMH: No
Internal Medicine
Smith Jr, William MD
Provider ID: 994668
Gender: Male
Hospital of Fulton Inc
106 W Clay St
Clinton, KY 42031
(270) 653-4041
Fax: (270) 653-4097
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 9
06/01/2016
Primary Care Physicians
Livingston
Family Practice
Burkhart, Stephen MD
Provider ID: 618303
Gender: Male
Burkhart Rural Health
Clinic
117 E Main St
Salem, KY 42078
(270) 988-3839
Fax: (270) 988-3832
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
General Practice
Barnes, William MD
Provider ID: 684960
Gender: Male
Tri Rivers Healthcare
PLLC
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
Fax: (270) 988-3900
00 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Yazigi, Ghassan MD
Provider ID: 595172
Gender: Male
Tri Rivers Healthcare
PLLC
141 Hospital Dr
Salem, KY 42078
(270) 988-3298
Fax: (270) 988-4642
12 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
Barnes, William MD
Provider ID: 996397
Barnes, William MD
Gender: Male
Provider ID: 594986
Tririvers Healthcare PLLC Yazigi, Ghassan MD
Gender: Male
Provider ID: 627458
205 E Adair St
Livingston Hospital and
Gender: Male
Smithland, KY 42081
Healthcare
Livingston Hospital and
(270) 928-2146
131 Hospital Dr
Healthcare
Fax: (270) 928-4492
Salem, KY 42078
131 Hospital Dr
00 Yrs/99 Yrs
(270) 988-2299
Salem, KY 42078
Livingston Hospital &
Fax: (270) 988-3900
(270) 988-2299
Healthca
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM Fax: (270) 988-3900
Crittenden County
00 Yrs/99 Yrs
THF 8:00 AM - 4:00 PM
Hospital
Livingston Hospital &
PCMH: No
M-F 9:00 AM - 5:00 PM
Healthca
PCMH: No
M-F 9:00 AM - 5:00 PM
Gavin, Michael MD
PCMH: No
Provider
ID:
995178
Barnes, William MD
Gender:
Male
Provider ID: 595002
Yazigi, Ghassan MD
Tri-Rivers Healthcare
Gender: Male
Tririvers Healthcare PLLC PLLC
Provider ID: 684962
205 E Adair St
141 Hospital Dr
Gender: Male
Smithland, KY 42081
Salem, KY 42078
Tri Rivers Healthcare
(270) 928-2146
(270) 988-3298
PLLC
Fax: (270) 928-4492
Fax: (270) 988-4642
131 Hospital Dr
02 Yrs/99 Yrs
02 Yrs/99 Yrs
Salem, KY 42078
Livingston
Hospital
&
Crittenden County
(270) 988-2299
Healthca
Hospital
M-W 8:00 AM - 5:00 PM Fax: (270) 988-3900
M-F 9:00 AM - 5:00 PM
12 Yrs/99 Yrs
THF 8:00 AM - 4:00 PM
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 10
06/01/2016
Primary Care Physicians
Lyon
Family Practice
Internal Medicine
French, David MD
Stewart-Jaynes, Marissa
MD
Provider ID: 670568
Provider ID: 808533
Gender: Male
David W French MD PSC Gender: Female
Mercy Primary Care Lyon
403 W Fairview Ave
Co
Eddyville, KY 42038
97 Lakeshore Dr
(270) 388-5454
Kuttawa, KY 42055
Fax: (270) 388-5452
(270) 388-4357
00 Yrs/99 Yrs
Fax: (270) 388-4184
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Wilder, Debra MD
PCMH: Yes, Level 3
Provider ID: 667119
Gender: Female
Kuttawa Clinic PLLC
91 Cedar St
Kuttawa, KY 42055
(270) 388-7380
Fax: (270) 388-7364
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
General Practice
Hiland, Steve MD
Provider ID: 596006
Gender: Male
Steve B Hiland MD
627 W Fairview Ave
Eddyville, KY 42038
(270) 388-9764
Fax: (270) 388-0557
04 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 11
06/01/2016
Primary Care Physicians
Marshall
Family Practice
Colburn, William MD
Provider ID: 667126
Gender: Male
Mercy Primary Care
Marshall County
83 Wellness Way Ln
Benton, KY 42025
(270) 527-8601
Fax: (270) 527-9615
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 3
Perez, Edwin MD
Provider ID: 961323
Gender: Male
Mercy Primary Care
Marshall Count
83 Wellness Way
Benton, KY 42025
(270) 527-8601
Fax: (270) 527-9615
00 Yrs/99 Yrs
Marshall County
Hospital
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 3
Heiss, John MD
Runciman, Kenneth MD
Provider ID: 1086939
Gender: Male
Provider ID: 1203740
Marshall County Surgical Gender: Male
& Medical
Baptist Health Medical
617 Old Symsonia Rd
Group
Benton, KY 42025
4754 Hwy 62
(270) 527-4829
Calvert City, KY 42029
Fax: (270) 527-4829
(270) 442-4830
00 Yrs/99 Yrs
Fax: (270) 442-7667
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
MTWTHFSatSun 8:00
AM - 5:00 PM
Perez, Edwin MD
PCMH: No
Provider ID: 666963
Gender: Male
Waller, Charles MD
Regional Medical
Provider ID: 594977
Associates
Gender: Male
83 Wellness Way Ln
Purchase Care LLC
Benton, KY 42025
503 E 5th Ave
(270) 527-8601
Calvert City, KY 42029
Fax: (270) 527-9615
(270) 395-5388
00 Yrs/99 Yrs
Fax: (270) 395-1792
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: Yes, Level 3
M-F 9:00 AM - 5:00 PM
PCMH: No
Walters, Jonathan MD
Provider ID: 1130015
Gender: Male
Baptist Health Medical
Group Inc
4754 Hwy 62
Calvert City, KY 42029
(270) 415-7780
Fax: (270) 415-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Federally Qualified
Health Center
Marshall County Family
Med
Provider ID: 1021123
543 Powell Ln
Benton, KY 42025
(270) 527-0045
Fax: (270) 527-0075
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
General Practice
Tveite, John MD
Provider ID: 633619
Gender: Male
Marshall County Family
Medical Center
543 Powell Lane
Benton, KY 42025
(270) 527-2273
Fax: (270) 527-9602
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 12
Internal Medicine
Albertson, Brad DO
Provider ID: 606196
Gender: Male
Mercy Primary Care
Benton
83 Wellness Way
Benton, KY 42025
(270) 527-0045
Fax: (270) 527-0075
00 Yrs/99 Yrs
Marshall County
Hospital
M-F 8:00 AM - 4:30 PM
PCMH: Yes, Level 3
Brown, Christina DO
Provider ID: 667030
Gender: Female
Marshall County Surgical
& Medical
617 Old Symsonia Rd
Benton, KY 42025
(270) 527-4829
Fax: (270) 527-2411
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Brown, Christina DO
Provider ID: 916094
Gender: Female
MD Partners PLLC
615 Old Symsonia Rd
Benton, KY 42025
(270) 527-4850
Fax: (270) 527-4853
12 Yrs/99 Yrs
Marshall County
Hospital
Norton Audubon
Hospital
Norton Brownsboro
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Marshall
Internal Medicine - cont.
Lyles, Julia MD
Provider ID: 615095
Gender: Female
Marshall County Surgical
Medical G
617 Old Symsonia Rd
Benton, KY 42025
(270) 527-2411
Fax: (270) 527-8734
18 Yrs/99 Yrs
Baptist Health Lexington
M-F 9:00 AM - 5:00 PM
PCMH: No
Pediatrics
Albertson, Brad DO
Provider ID: 606196
Gender: Male
Mercy Primary Care
Benton
83 Wellness Way
Benton, KY 42025
(270) 527-0045
Fax: (270) 527-0075
00 Yrs/99 Yrs
Marshall County
Hospital
M-F 8:00 AM - 4:30 PM
PCMH: Yes, Level 3
www.wellcare.com/Kentucky | 13
06/01/2016
Primary Care Physicians
McCracken
Family Practice
Allen IV, Henry MD
Provider ID: 1057144
Gender: Male
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Brazzell, John MD
Provider ID: 1094387
Gender: Male
Arcare
3240 Irvin Cobb
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: No
Graves, Kevin DO
Provider ID: 1135074
Gender: Male
Arcare
1901 Ky Ave
Paducah, KY 42003
(270) 575-3247
Fax: (270) 408-1584
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Graves, Kevin DO
Provider ID: 1135075
Gender: Male
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Martin, Aribbe MD
Runciman, Kenneth MD
Provider ID: 594761
Provider ID: 1165698
Gender: Male
Aribbe A Martin MD PSC Gender: Male
Baptist Health Medical
225 Medical Center Dr
Group Inc
Ste 209
632 Lone Oak Rd
Paducah, KY 42003
Paducah, KY 42003
(270) 441-4506
(270) 442-4830
Fax: (270) 441-4377
Fax: (270) 442-7667
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
Mutchler, Bradford MD
Provider ID: 1062275
Gender: Male
Baptist Health Medical
Group
2535 Broadway St
Paducah, KY 42001
(270) 575-3001
Fax: (270) 575-3001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Nelson, Jennifer DO
Provider ID: 1148884
Gender: Female
Total Life Care PLLC
2850 Lone Oak Rd Ste 4
Paducah, KY 42003
(270) 554-3904
Fax: (270) 534-8928
16 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
PCMH: No
Saxon, David MD
Provider ID: 705948
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-7862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Smith, David MD
Provider ID: 1047770
Gender: Male
Arcare
1901 Ky Ave
Paducah, KY 42003
(270) 575-3247
Fax: (270) 408-1584
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 3
www.wellcare.com/Kentucky | 14
Smith, David MD
Provider ID: 1061619
Gender: Male
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Turnbo, James MD
Provider ID: 666966
Gender: Male
James Kyle Turnbo MD
PSC
546 Lone Oak Rd
Paducah, KY 42003
(270) 441-4777
Fax: (270) 441-4780
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00
PM
W 8:00 AM - 12:00 PM
PCMH: No
Federally Qualified
Health Center
Kentuckycare 44
Provider ID: 1075663
Arcare 44
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
McCracken
Internal Medicine
Fischer, Mae MD
Leslie, Shanna MD
Pittard, Joseph MD
Provider ID: 596919
Provider ID: 597084
Provider ID: 700450
Bowman-Stroud, Cynthia Gender: Female
Gender: Female
Gender: Male
MD
Internal Medicine Group Paducah Family Medicine Internal Medicine Group
Provider ID: 597103
225 Medical Center Dr
225 Medical Center Dr
225 Medical Center Dr
Gender: Female
Ste 201
Ste 302
Ste 201
Paducah Family Medicine Paducah, KY 42003
Paducah, KY 42003
Paducah, KY 42003
225 Medical Center Dr
(270) 441-4200
(270) 441-4568
(270) 441-4200
Ste 302
Fax: (270) 441-4249
Fax: (270) 441-4293
Fax: (270) 441-4249
Paducah, KY 42003
15 Yrs/99 Yrs
00 Yrs/99 Yrs
18 Yrs/99 Yrs
(270) 441-4568
Baptist Health Paducah
M-F 8:30 AM - 5:00 PM
Languages: American
Fax: (270) 441-4288
Livingston Hospital &
Sign Language
PCMH: Yes, Level 2
00 Yrs/99 Yrs
Healthca
M-F 8:00 AM - 5:00 PM
Lourdes Hospital Inc
MTWTHFSat 8:00 AM - Long, James MD
PCMH: Yes, Level 2
M-F 8:00 AM - 5:00 PM
Provider ID: 594788
5:00 PM
Purvis, Melissa MD
PCMH: Yes, Level 2
Gender: Male
PCMH: Yes, Level 2
Internal Medicine Group
Brazzell, John MD
Lebuhn, Polly MD
Provider ID: 595911
225 Medical Center Dr
Provider ID: 269697
Provider ID: 594646
Gender: Female
Ste 201
Gender: Male
Gender: Female
Internal Medicine Group
Paducah, KY 42003
Ar Care
Internal Medicine Group (270) 441-4200
225 Medical Center Dr
1901 Kentucky Ave
225 Medical Center Dr
Ste 201
Fax: (270) 441-4249
Paducah, KY 42003
Ste 201
Paducah, KY 42003
16 Yrs/99 Yrs
(270) 575-3247
Paducah, KY 42003
(270) 441-4200
Baptist Health Paducah
00 Yrs/99 Yrs
(270) 441-4200
Fax: (270) 441-4249
Languages: German,
Lourdes Hospital Inc
Fax: (270) 441-4249
American Sign Language 15 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
16 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: No
Baptist Health Paducah
M-F 8:30 AM - 5:00 PM
PCMH: Yes, Level 2
Languages: American
PCMH: Yes, Level 2
Butler, Danny MD
Meeks, Van MD
Sign Language
Provider ID: 627462
Smith, Richard MD
Provider ID: 1139778
M-F 8:00 AM - 5:00 PM
Gender: Male
Gender:
Male
PCMH: Yes, Level 2
Dr Butler Associates
Provider ID: 595298
Total Life Care PLLC
PLLC
Leslie, Darrell MD
2850 Lone Oak Rd Ste 4 Gender: Male
2603 Kentucky Ave Ste
Provider ID: 595652
Internal Medicine Group
Paducah, KY 42003
303
Gender: Male
225 Medical Center Dr
(270) 554-3904
Paducah, KY 42003
Paducah Family Medicine Fax: (270) 534-8928
Ste 201
(270) 443-2900
225 Medical Center Dr
Paducah, KY 42003
00 Yrs/99 Yrs
Fax: (270) 443-7122
Ste 302
(270) 441-4200
M-F 8:00 AM - 4:00 PM
00 Yrs/99 Yrs
Paducah, KY 42003
Fax: (270) 441-4249
PCMH: No
M-F 9:00 AM - 5:00 PM
(270) 441-4568
16 Yrs/99 Yrs
PCMH: No
Fax: (270) 441-4293
Baptist Health Paducah
00 Yrs/99 Yrs
Languages: German,
Baptist Health Paducah
American Sign Language
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 2
PCMH: Yes, Level 2
www.wellcare.com/Kentucky | 15
06/01/2016
Primary Care Physicians
McCracken
Internal Medicine - cont.
Obstetrics/Gynecology
Lowdenback, Rachel DO Meeks, Van MD
Provider ID: 892621
Provider ID: 1139778
Sperry, Christopher MD Cardenas, Jorge MD
Gender: Female
Gender: Male
Provider ID: 710970
Provider ID: 606206
Mercy Pediatrics
Total Life Care PLLC
Gender: Male
Gender: Male
1532 Lone Oak Rd Ste
2850 Lone Oak Rd Ste 4
Mercy Primary Care
Paducah Womens Clinic 345
Paducah, KY 42003
Paducah
2311 Kentucky Ave
Paducah, KY 42003
(270) 554-3904
1532 Lone Oak Rd Ste 150 Paducah, KY 42003
(270) 442-6161
Fax: (270) 534-8928
Paducah, KY 42003
(270) 443-8425
Fax: (270) 442-6294
00 Yrs/99 Yrs
(270) 538-5596
Fax: (270) 442-3303
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Fax: (270) 538-5597
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
PCMH: No
00 Yrs/99 Yrs
Baptist Health Paducah
PCMH: No
Lourdes Hospital Inc
Mudd, Jeffrey MD
M-F 9:00 AM - 5:00 PM
Mason,
Kayla
MD
M-F 8:00 AM - 5:00 PM
Provider ID: 615077
PCMH: No
Provider ID: 594929
PCMH: Yes, Level 3
Gender: Male
Pediatrics
Gender: Female
Pediatric Group of
Telle, Terri MD
Pediatric
Group
of
Paducah PSC
Bowman-Stroud, Cynthia Paducah PSC
Provider ID: 686800
2605 Kentucky Ave
MD
Gender: Female
2605
Kentucky
Ave
Doctors Bldg 3 Ste 501
Provider ID: 597103
Mercy Primary Care
Doctors Bldg 3 Ste 501
Paducah, KY 42001
Gender: Female
Reidland
Paducah, KY 42001
(270) 443-7534
Paducah Family Medicine (270) 443-7534
6035 Kentucky Dam Rd
Fax: (270) 442-0309
225 Medical Center Dr
Paducah, KY 42003
Fax:
(270)
442-0309
00 Yrs/18 Yrs
Ste 302
(270) 898-2444
00
Yrs/18
Yrs
Baptist Health Paducah
Paducah, KY 42003
Fax: (270) 898-4753
Baptist
Health
Paducah
M-F 9:00 AM - 4:30 PM
(270) 441-4568
00 Yrs/99 Yrs
M-F
9:00
AM
4:30
PM
Sat 9:00 AM - 12:00 PM
Fax: (270) 441-4288
M-F 8:00 AM - 4:00 PM
Sat
9:00
AM
12:00
PM
PCMH: No
00 Yrs/99 Yrs
PCMH: Yes, Level 3
PCMH:
No
Lourdes Hospital Inc
Payne, Holly MD
Wallace, Jesse MD
M-F 8:00 AM - 5:00 PM McGregor Cobern,
Provider ID: 1152056
PCMH: Yes, Level 2
Elizabeth MD
Gender: Female
Provider ID: 595392
Provider ID: 613418
Mercy Pediatrics
Bruce, William MD
Gender: Male
Gender: Female
548 Lone Oak Rd
Internal Medicine Group Provider ID: 595288
Pediatric Group of
Paducah, KY 42003
Gender: Male
225 Medical Center Dr
Paducah PSC
(270) 442-6161
Pediatric Group of
Ste 201
2605 Kentucky Ave
Fax: (270) 442-6294
Paducah PSC
Paducah, KY 42003
Doctors Bldg 3 Ste 501
00 Yrs/99 Yrs
2605 Kentucky Ave
(270) 441-4200
Paducah, KY 42001
M-F 8:00 AM - 4:30 PM
Doctors Bldg 3 Ste 501
Fax: (270) 441-4249
(270) 443-7534
PCMH: Yes, Level 3
Paducah, KY 42001
16 Yrs/99 Yrs
Fax: (270) 442-0309
(270) 443-7534
Baptist Health Paducah
00 Yrs/21 Yrs
Fax: (270) 442-0309
Languages: German,
M-F 9:00 AM - 5:00 PM
American Sign Language 00 Yrs/21 Yrs
PCMH: No
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 9:00
PCMH: Yes, Level 2
AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 16
06/01/2016
Primary Care Physicians
McCracken
Pediatrics - cont.
Schell, David MD
Provider ID: 595021
Gender: Male
Pediatric Group of
Paducah PSC
2605 Kentucky Ave
Doctors Bldg 3 Ste 501
Paducah, KY 42001
(270) 443-7534
Fax: (270) 442-0309
00 Yrs/18 Yrs
Baptist Health Paducah
M-F 9:00 AM - 4:30 PM
Sat 9:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 17
06/01/2016
Specialty Physicians
Caldwell
Cardiology
Hall, David MD
Provider ID: 642177
Gender: Male
Big Springs Cardiology
PSC
114 Edwards St
Princeton, KY 42445
(270) 365-0220
Fax: (270) 365-0277
18 Yrs/99 Yrs
MWTH 7:00 AM - 4:30
PM
T 8:00 AM - 4:30 PM
F 7:00 AM - 12:00 PM
PCMH: No
Chiropractic
Mathis, Justin DC
Provider ID: 1145379
Gender: Male
Caldwell County
Chiropractic
1011 W. Main St Ste B
Princeton, KY 42445
(270) 365-6777
Fax: (270) 365-6444
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
PCMH: No
Ear, Nose & Throat
General Surgery
Nephrology
Logan, William MD
Provider ID: 604564
Gender: Male
Baptist Health Medical
Group
605 S Jefferson St
Princeton, KY 42445
(270) 365-2037
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hinton, Carl MD
Provider ID: 654096
Gender: Male
Carl Hinton M D PSC
407 US Hwy 62 W
Princeton, KY 42445
(270) 365-9993
Fax: (270) 365-0533
00 Yrs/99 Yrs
Caldwell County
Hospital Home Health
Age
M-F 8:00 AM - 5:00 PM
PCMH: No
Bhasin, Vijay MD
Provider ID: 603102
Gender: Male
St Mary's Medical Group
LLC
323 S Jefferson St Ste D
Princeton, KY 42445
(270) 365-4505
Fax: (270) 365-0321
00 Yrs/99 Yrs
St Marys Medical
Center-Evansville
M-F 8:00 AM - 5:00 PM
PCMH: No
Medical Oncology
Optometry
Peers, Christopher MD
Provider ID: 972451
Gender: Male
Baptist Health Medical
Group
605 S Jefferson St
Princeton, KY 42445
(270) 365-2037
00 Yrs/99 Yrs
Baptist Health
Madisonville Rehab
Distin
M-F 8:00 AM - 5:00 PM
PCMH: No
General Dentistry
Sitton, Lora DMD
Provider ID:
Rushing, James DC
TPV79037DM-01
Provider ID: 1162922
Gender: Female
Gender: Male
400 W. Washington St
Rushing Chiropractic
Princeton, KY 42445
Center
(270) 365-6174
505 W. Main St
Fax: (270) 365-6174
Princeton, KY 42445
00 Yrs/99 Yrs
(270) 365-6800
[email protected]
Fax: (270) 365-6800
M-TH 7:00 AM - 4:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:00 PM PCMH: No
F 8:00 AM - 12:00 PM
PCMH: No
Chua, Winston MD
Parker, Sarah OD
Provider ID: TPV2004-02
Gender: Female
101 East Shepherdson St
Princeton, KY 42445
(270) 365-6627
Fax: (270) 365-7700
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM
PCMH: No
Provider ID: 603137
Gender: Male
Oncology Associates of
West Kentuck
323 S Jefferson
Princeton, KY 42445
(270) 444-3930
Fax: (270) 442-5284
00 Yrs/99 Yrs
Languages: Chinese,
Talley, Daniel OD
Tagalog
M-TH 9:00 AM - 5:00 PM Provider ID: TPV2003-02
Gender: Male
F 9:00 AM - 12:00 PM
101 East Shepherdson St
PCMH: No
Princeton, KY 42445
(270) 365-6627
Fax: (270) 365-7700
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 18
06/01/2016
Specialty Physicians
Caldwell
Orthopaedic Surgery
Robbe, Frederick MD
Provider ID: 977601
Bealle, David MD
Gender: Male
Provider ID: 977512
Fairview Physicians
Gender: Male
Network LLC DBA
Fairview Physicians
100 Medical Center Dr
Network LLC DBA
Princeton, KY 42445
100 Medical Center Dr
(270) 365-0300
Princeton, KY 42445
00 Yrs/99 Yrs
(270) 365-0300
Caldwell Medical Center
00 Yrs/99 Yrs
Jennie Stuart Medical
Caldwell Medical Center Center
Jennie Stuart Medical
M-F 9:00 AM - 5:00 PM
Center
PCMH: No
M-F 9:00 AM - 5:00 PM
Urology
PCMH: No
Robbe, Frederick MD
Franke, Jenny MD
Provider ID: 977601
Provider ID: 629721
Gender: Male
Gender: Female
Fairview Physicians
Fairview Physicians
Network LLC DBA
Network LLC
100 Medical Center Dr
114 Edward St
Princeton, KY 42445
Princeton, KY 42445
(270) 365-0300
(270) 886-5141
00 Yrs/99 Yrs
Fax: (270) 885-1877
Caldwell Medical Center 00 Yrs/99 Yrs
Jennie Stuart Medical
M 8:00 AM - 10:30 PM
Center
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
Sports Medicine
Bealle, David MD
Provider ID: 977512
Gender: Male
Fairview Physicians
Network LLC DBA
100 Medical Center Dr
Princeton, KY 42445
(270) 365-0300
00 Yrs/99 Yrs
Caldwell Medical Center
Jennie Stuart Medical
Center
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 19
06/01/2016
Specialty Physicians
Calloway
Cardiology
Ear, Nose & Throat
General Dentistry
Etherton, Virgil DC
Provider ID: 618606
Dittoe, Nathaniel MD
Lorenz, Frederick MD
Pasco, William DMD
Gender: Male
Provider
ID:
1115202
Etherton Chiropractic of
Provider ID: 642204
Provider ID: TPV3938-01
Gender: Male
Murray
Gender: Male
Gender: Male
Physician Specialists of
1103 Chestnut St
Western Kentucky
Murray
1653 Calloway Ave
Murray, KY 42071
Cardiology Consult
300
S
8th
St
Ste
109E
Murray, KY 42071
(270) 759-0030
300 South 8th St Ste 181 Fax: (270) 767-0471
Murray, KY 42071
(270) 753-1914
W
(270) 762-1515
Fax: (270) 753-5923
00 Yrs/99 Yrs
Murray, KY 42071
Fax:
(270)
762-1584
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
(270) 759-4098
00
Yrs/99
Yrs
dmdmurray@hotmail.
PCMH: No
Fax: (270) 767-3627
com
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Gandy, Mary DC
MT 8:30 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
Provider ID: 1067085
PCMH: No
Endocrinology, Diabetes,
PCMH: No
Gender: Female
Metabolism
Robertson, Charles DMD
Calloway County
Dittoe, Nathaniel MD
Chiropractic
De LA Rosa, Raymond
Provider ID: 764298
Provider ID: TPV4048-01
1710 D Hwy 121 North
MD
Gender: Male
Gender: Male
Murray, KY 42071
Provider
ID:
602052
Baptist Health Medical
1710 A State Rte 121
(270) 753-6100
Gender: Male
Group
North
Fax: (270) 767-9490
Paducah Endocrinology
300 S 8th St Ste 181
Murray, KY 42071
00 Yrs/99 Yrs
1000 S 12th St
Murray, KY 42071
(270) 753-9479
MWTHF 7:30 AM - 5:30
Murray, KY 42071
(270) 759-4098
Fax: (270) 761-2528
PM
(270)
441-4498
00 Yrs/99 Yrs
00 Yrs/99 Yrs
T 8:00 AM - 5:30 PM
Fax: (270) 767-3199
M-F 8:00 AM - 5:00 PM
M-TH 7:30 AM - 5:00 PM
PCMH: No
18 Yrs/99 Yrs
PCMH: No
PCMH: No
Baptist Health Paducah
Heskett, Dennis DC
Chiropractic
M-F 9:00 AM - 5:00 PM West, Jackie DMD
Provider ID: 604972
Provider ID: TPV4061-01
PCMH: No
Gender: Male
Etherton, Bambi DC
Gender: Male
Heskett Chiropractic
Provider ID: 618603
Gastroenterology
1711 121 North Bypass
Center Inc
Gender: Female
Murray, KY 42071
Finch, Monte DO
Etherton Chiropractic of 1703 Hwy 121 N Byp
(270) 759-4242
Murray, KY 42071
Provider ID: 611648
Murray
00 Yrs/99 Yrs
(270) 759-1116
Gender: Male
1103 Chestnut St
M-TH 8:00 AM - 5:00 PM
Fax: (270) 759-1117
Physician Specialists of
Murray, KY 42071
PCMH: No
00 Yrs/99 Yrs
Murray
(270) 759-0030
MW 8:00 AM - 6:00 PM
300 S 8th St Ste 182W
Fax: (270) 767-0471
TTH
10:00
AM
6:00
PM
Murray, KY 42071
00 Yrs/99 Yrs
F
9:00
AM
5:00
PM
(270) 759-4000
M-F 9:00 AM - 5:00 PM
PCMH:
No
Fax: (270) 762-1783
PCMH: No
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
Murray Calloway County
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 20
06/01/2016
Specialty Physicians
Calloway
General Surgery
Swain, Brian MD
Provider ID: 633700
Gender: Male
West Kentucky Surgical
Associates
300 S 8th St Ste 401E
Murray, KY 42071
(270) 753-2444
Fax: (270) 767-3644
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Mayor-Lynn, Kathleen
Korson, Rachel MD
MD
Provider ID: 914040
Dowdy, James MD
Provider ID: 597277
Gender: Female
Provider ID: 629683
Gender: Female
Physician Specialist of
Gender: Male
The Perinatal Group
Murray
West Kentucky Surgical
1000 N 12th St
300 S 8th St Ste 301E
Associates
Murray, KY 42071
Murray, KY 42071
300 S 8th St Ste 401E
(931) 572-0086
(270) 762-1566
Murray, KY 42071
Fax: (931) 572-1078
Fax: (270) 762-1584
(270) 753-2444
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 767-3644
Baptist Health
Murray Calloway County
00 Yrs/99 Yrs
Madisonville Rehab
Hospital
M-F 8:00 AM - 5:00 PM
Distin
M-F 8:00 AM - 5:00 PM
Hematology & Oncology M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH:
No
Harris, Brady MD
Ahmadi, Mehdi MD
Obstetrics/Gynecology
Provider ID: 1034488
Provider ID: 601917
Nephrology
Deeter, Dawn MD
Gender: Male
Gender: Male
McCullough,
Steven
DO
Provider ID: 599001
West Kentucky Surgical
Murray Oncology
Associates
Associates
Gender: Female
Provider ID: 700598
300 S 8th St Ste 401E
204 S 9th St Ste A
Murray Womans Clinic
Gender: Male
Murray, KY 42071
Murray, KY 42071
305 S 8th St
Western Kentucky
(270) 753-2444
(270) 759-4199
Murray, KY 42071
Kidney
Specialists
Fax: (270) 767-3644
Fax: (270) 767-3632
(270) 753-9300
300 S 8th St Ste 178W
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 753-2413
Murray Calloway County Murray Calloway County Murray, KY 42071
00 Yrs/99 Yrs
(270) 535-5880
Hospital
Hospital
Murray Calloway County
Fax: (270) 767-3638
M-F 8:00 AM - 5:00 PM
Languages: Faroese
Hospital
15
Yrs/99
Yrs
PCMH: No
M-TH 8:00 AM - 5:00 PM
Languages: Spanish,
Languages: American
French
F 8:00 AM - 4:00 PM
Koelsch, David MD
Sign Language
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 628199
M-F 8:30 AM - 5:00 PM
PCMH: No
Maternal Fetal Medicine PCMH: No
Gender: Male
Green, Thomas MD
West Kentucky Surgical
Lombardi,
Salvatore
MD
Neurology
Associates
Provider ID: 599141
300 S 8th St Ste 401E
Gender: Male
Couch, Jimmy DO
Provider ID: 673298
Murray, KY 42071
Murray Womans Clinic
Provider ID: 633758
Gender: Male
(270) 753-2444
305 S 8th St
Gender:
Male
The
Perinatal
Group
Fax: (270) 767-3644
Murray, KY 42071
Murray Calloway Co Pub (270) 753-9300
1000 N 12th St
00 Yrs/99 Yrs
Hospital Corp Db
Murray, KY 42071
M-F 8:00 AM - 5:00 PM
Fax: (270) 753-2413
300 S 8th St Ste 301E
(931) 572-0086
PCMH: No
00 Yrs/99 Yrs
Murray, KY 42071
Fax: (931) 572-1078
Murray Calloway County
(270) 762-1566
00 Yrs/99 Yrs
Hospital
Fax: (270) 762-1584
M-F 8:00 AM - 5:00 PM
Languages: Spanish
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 21
06/01/2016
Specialty Physicians
Calloway
Obstetrics/Gynecology - Capps, Dwight MD
cont.
Provider ID: TPV3811-01
Gender: Male
Hutchison, Stephanie
300 South 8th St Ste
MD
505E
Provider ID: 633277
Murray, KY 42071
Gender: Female
(270) 753-3131
Murray Womans Clinic
Fax: (270) 753-3169
305 S 8th St
00 Yrs/99 Yrs
Murray, KY 42071
M-F 8:00 AM - 4:00 PM
(270) 753-9300
PCMH: No
Fax: (270) 753-2413
Optometry
00 Yrs/99 Yrs
Murray Calloway County
Adams, Kevin OD
Hospital
Provider ID: TPV4844-01
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
308 S. 12th St.
Turley, Karla MD
Murray, KY 42071
Provider ID: 1130478
(270) 759-2500
Gender: Female
Fax: (270) 759-1831
Primary Care Medical
00 Yrs/99 Yrs
Center
MT 8:00 AM - 6:00 PM
1000 S 12th St
WTH 8:00 AM - 5:00 PM
Murray, KY 42071
F 8:00 AM - 12:00 PM
(270) 759-9200
PCMH: No
Fax: (270) 759-9966
Hall, Benjamin OD
00 Yrs/99 Yrs
Provider ID: TPV4396-01
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
312 North 12th St
Ophthalmology
Murray, KY 42071
(270) 767-9300
Bryson, David MD
Fax: (270) 761-4706
Provider ID: TPV3810-01
00 Yrs/99 Yrs
Gender: Male
MT 10:00 AM - 7:00 PM
300 South 8th St Ste
WF 9:00 AM - 5:00 PM
505E
THSat 9:00 AM - 12:00
Murray, KY 42071
PM
(270) 753-3131
PCMH: No
Fax: (270) 753-3169
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
PCMH: No
Jaco, James OD
Provider ID: TPV4699-01
Gender: Male
106 North 6th St
Murray, KY 42071
(270) 753-2842
Fax: (270) 753-2844
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Swann, Frederick OD
Provider ID:
TPV1992034045WL
Gender: Male
809 North 12th St
Murray, KY 42071
(270) 753-2195
00 Yrs/99 Yrs
[email protected]
PCMH: No
Jarvis, Reed OD
Provider ID: TPV5073-01
Gender: Male
1208 Johnson Blvd.
Murray, KY 42071
(270) 759-1429
Fax: (270) 759-1493
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Williams, Jesse OD
Provider ID:
TPV20958-02
Gender: Male
1208 Johnson Blvd.
Murray, KY 42071
(270) 759-1429
Fax: (270) 759-1493
00 Yrs/10 Yrs
M 10:00 AM - 7:00 PM
TWF 8:00 AM - 5:00 PM
TH 8:00 AM - 7:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Lyles, Natasha OD
Provider ID: TPV5001-02
Gender: Female
106 North 6th St
Murray, KY 42071
(270) 753-2842
Fax: (270) 753-2844
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Payne, Douglas OD
Provider ID: TPV4578-03
Gender: Male
1900 N 12th St Ste J
Murray, KY 42071
(270) 753-5507
Fax: (270) 753-5504
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 22
Oral & Maxillofacial
Surgery
Bobo, Michael DDS
Provider ID: TPV4189-01
Gender: Male
1109 Poplar St
Murray, KY 42071
(270) 759-4063
Fax: (270) 759-4920
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Calloway
Orthopaedic Surgery
Hill, Clint MD
Provider ID: 604093
Charette, Raymond MD
Gender: Male
Orthopedic Institute of
Provider ID: 633684
W Ky
Gender: Male
100 S 12th St
Murray Calloway Co Pub Murray, KY 42071
Hospital Corp Db
(270) 442-9461
300 S 8th St Ste 284W
Fax: (270) 441-0079
Murray, KY 42071
00 Yrs/99 Yrs
(270) 761-5756
Baptist Health Paducah
Fax: (270) 767-3665
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Jackson, Stephen MD
Provider ID: 600365
Compton, Stephen MD
Gender: Male
Provider ID: 919750
Orthopedic Institute of
Gender: Male
W Ky
Physician Specialists of
100 S 12th St
Murray
Murray, KY 42071
300 S 8th St Ste 480W
(270) 442-9461
Murray, KY 42071
Fax: (270) 441-0079
(270) 761-5756
00 Yrs/99 Yrs
Fax: (270) 767-3665
Baptist Health Paducah
00 Yrs/99 Yrs
Lourdes Hospital Inc
Murray Calloway County M-F 8:00 AM - 5:00 PM
Hospital
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Kern, Brian MD
Provider ID: 603991
Deweese, Frederick MD
Gender: Male
Orthopedic Institute of
Provider ID: 600558
W Ky
Gender: Male
100 S 12th St
Orthopedic Institute of
Murray, KY 42071
W Ky
(270) 442-9461
100 S 12th St
Fax: (270) 441-0079
Murray, KY 42071
00 Yrs/99 Yrs
(270) 442-9461
Baptist Health Paducah
Fax: (270) 441-0079
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Morgan, Derek MD
Stodghill, Burton MD
Provider ID: 633753
Provider ID: 600591
Gender: Male
Gender: Male
Murray Calloway Co Pub Orthopedic Institute of
Hospital Corp Db
W Ky
300 S 8th St Ste 284W
100 S 12th St
Murray, KY 42071
Murray, KY 42071
(270) 761-5756
(270) 442-9461
Fax: (270) 767-3665
Fax: (270) 441-0079
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Baptist Health Paducah
PCMH: No
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Patel, Shiraz MD
PCMH: No
Provider ID: 603135
Gender: Male
Strenge, Kenneth MD
Orthopedic Institute of
Provider ID: 603988
W Ky
Gender: Male
100 S 12th St
Orthopedic Institute of
Murray, KY 42071
W Ky
(270) 442-9461
100 S 12th St
Fax: (270) 441-0079
Murray, KY 42071
00 Yrs/99 Yrs
(270) 442-9461
Baptist Health Paducah
Fax: (270) 441-0079
Languages: Spanish
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Baptist Health Paducah
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Romine, Spencer MD
Provider ID: 719255
Yezerski, John MD
Gender: Male
Provider ID: 601735
Orthopedic Institute of
Gender: Male
W Ky
Murray Calloway Co Pub
100 S 12th St
Hospital Corp Db
Murray, KY 42071
300 S 8th St Ste 284W
(270) 442-9461
Murray, KY 42071
Fax: (270) 441-0079
(270) 761-5756
00 Yrs/99 Yrs
Fax: (270) 767-3665
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Murray Calloway County
Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 23
06/01/2016
Specialty Physicians
Calloway
Orthopaedic Surgery cont.
Yezerski, John MD
Provider ID: 601735
Gender: Male
Orthopaedic Associates
of Murray
300 S 8th St Ste 178W
Murray, KY 42071
(270) 759-1444
Fax: (270) 759-1040
00 Yrs/99 Yrs
Murray Calloway County
Hospital
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
PCMH: No
Pediatric Cardiology
Bullock, Smitha MD
Provider ID: 727257
Gender: Female
Ulrf Pediatric Cardiology
300 S 8th St Ste 480 W
Murray, KY 42071
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Holland, Brian MD
Provider ID: 604352
Gender: Male
Ulrf Pediatric Cardiology
300 S 8th St Ste 480 W
Murray, KY 42071
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Johnsrude, Christopher Kim, Edward MD
Matta, Jyothi MD
MD
Provider ID: 602973
Provider ID: 602336
Provider ID: 601837
Gender: Male
Gender: Female
Gender: Male
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology
Ulrf Pediatric Cardiology 300 S 8th St Ste 480W
300 S 8th St Ste 480W
300 S 8th St Ste 480W
Murray, KY 42071
Murray, KY 42071
Murray, KY 42071
(502) 585-4802
(502) 585-4802
(502) 585-4802
Fax: (502) 589-1256
Fax: (502) 589-1256
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/18 Yrs
Norton Hospital
Kosair Childrens Medical
M-F 8:00 AM - 5:00 PM
Center Brownsb
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Keller, Bradley MD
Lau, Kelvin MD
Provider ID: 631924
Neal, Ashley MD
Provider ID: 1129973
Gender: Male
Provider ID: 1027382
Gender: Male
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology Gender: Female
300 S 8th St Ste Ste
Ulrf Pediatric Cardiology
300 S 8th St Ste 480W
480W
300 S 8th St Ste 480W
Murray, KY 42071
Murray, KY 42071
Murray, KY 42071
(502) 585-4802
(502) 585-4802
(502) 585-4802
Fax: (502) 589-1256
Fax: (502) 589-1256
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/18 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
Leahy, Ryan MD
Kim, Edward MD
Sobczyk, Walter MD
Provider ID: 631604
Provider ID: 602973
Provider ID: 604601
Gender: Male
Gender: Male
Ulrf Pediatric Cardiology Gender: Male
Pediatric Cardiology
Pediatric Cardiology
300 S 8th St Ste 480 W
Associates PSC
Associates PSC
Murray, KY 42071
300 S 8th St Ste 284W
300 S 8th St Ste 284W
(502) 585-4802
Murray, KY 42071
Murray, KY 42071
Fax: (502) 589-1256
(502) 585-4802
(502) 585-4802
00 Yrs/18 Yrs
Fax: (502) 589-1256
Kosair Childrens Medical Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/18 Yrs
Center Brownsb
Norton Hospital
Jennie Stuart Medical
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Center
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 24
06/01/2016
Specialty Physicians
Calloway
Pediatric Cardiology cont.
Wright, Lucinda MD
Lau, Kelvin MD
Sparks, Joshua MD
Provider ID: 1129973
Provider ID: 723048
Provider ID: 601497
Gender: Male
Gender: Male
Sobczyk, Walter MD
Gender: Female
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology
Ulrf Pediatric Cardiology 300 S 8th St Ste 480W
300 S 8th St Ste 480W
Provider ID: 604601
300 S 8th St Ste 480 W
Murray, KY 42071
Murray, KY 42071
Gender: Male
Murray, KY 42071
(502) 585-4802
(502) 585-4802
Ulrf Pediatric Cardiology (502) 585-4802
Fax: (502) 589-1256
Fax: (502) 589-1256
300 S 8th St Ste 480 W
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Murray, KY 42071
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
(502) 585-4802
Kosair Childrens Medical PCMH: No
PCMH: No
Fax: (502) 589-1256
Center Brownsb
00 Yrs/18 Yrs
Physical Medicine &
Leahy, Ryan MD
Norton Hospital
Rehabilitation
Jennie Stuart Medical
Provider ID: 631604
M-F 8:00 AM - 5:00 PM
Center
Gender: Male
PCMH: No
M-F 8:00 AM - 5:00 PM
Ulrf Pediatric Cardiology Rommelman, Monte MD
Pediatrics
PCMH: No
300 S 8th St Ste 480 W
Provider ID: 627180
Murray, KY 42071
Sparks, Joshua MD
Bullock, Smitha MD
Gender: Male
(502) 585-4802
Provider ID: 723048
Provider ID: 727257
Paducah Physiatric
Fax: (502) 589-1256
Gender: Male
Gender: Female
Partners
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology 00 Yrs/18 Yrs
719 Poplar St
Kosair Childrens Medical Murray, KY 42071
300 S 8th St Ste 480W
300 S 8th St Ste 480 W
Center Brownsb
Murray, KY 42071
Murray, KY 42071
(270) 443-9352
M-F 8:00 AM - 5:00 PM
(502) 585-4802
(502) 585-4802
Fax: (270) 443-9013
PCMH: No
Fax: (502) 589-1256
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Matta, Jyothi MD
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 602336
PCMH: No
PCMH: No
Gender: Female
Podiatry
Ulrf Pediatric Cardiology
Wright, Lucinda MD
Holland, Brian MD
300 S 8th St Ste 480W
Adams, William DPM
Provider ID: 601497
Provider ID: 604352
Murray, KY 42071
Gender: Female
Gender: Male
(502) 585-4802
Provider ID: 716440
Pediatric Cardiology
Ulrf Pediatric Cardiology Fax: (502) 589-1256
Gender: Male
Associates PSC
300 S 8th St Ste 480 W
00
Yrs/99
Yrs
Orthopedic Institute of
300 S 8th St Ste 284W
Murray, KY 42071
Kosair
Childrens
Medical
W Ky
Murray, KY 42071
(502) 585-4802
Center Brownsb
100 S 12th St
(502) 585-4802
Fax: (502) 589-1256
M-F 8:00 AM - 5:00 PM
Murray, KY 42071
Fax: (502) 589-1256
00 Yrs/18 Yrs
PCMH: No
(270) 442-9461
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 441-0079
Kosair Childrens Medical PCMH: No
00 Yrs/99 Yrs
Center Brownsb
M-F 8:00 AM - 5:00 PM
Norton Hospital
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 25
06/01/2016
Specialty Physicians
Calloway
Podiatry - cont.
Urology
Lampkin, Roger DPM
Stanczyk, Christopher
DO
Provider ID: 618593
Provider ID: 633706
Gender: Male
Drs Naulty and Lampkin Gender: Male
Murray Calloway Co
908B S 12th St
Public Hospital
Murray, KY 42071
300 S 8th St Ste 107E
(270) 753-0666
Murray, KY 42071
Fax: (270) 753-0684
(270) 762-1512
00 Yrs/99 Yrs
Murray Calloway County Fax: (270) 767-3605
00 Yrs/99 Yrs
Hospital
Trigg County Hospital
M-TH 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
PCMH: No
PCMH: No
Naulty, Stuart DPM
Trevathan, Steven MD
Provider ID: 618596
Provider ID: 658733
Gender: Male
Gender: Male
Drs Naulty and Lampkin Trevathan Urology Clinic
908B S 12th St
300 S 8th St Ste 180 W
Murray, KY 42071
Murray, KY 42071
(270) 753-0666
(270) 753-7440
Fax: (270) 753-0684
Fax: (270) 767-3633
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Murray Calloway County M-F 8:00 AM - 5:00 PM
Hospital
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
Pulmonary Disease
Shastri, Ghanshyam MD
Provider ID: 1061326
Gender: Male
Physician Specialists of
Murray
300 S 8th St Ste 301E
Murray, KY 42071
(270) 762-1566
Fax: (270) 762-1584
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 26
06/01/2016
Specialty Physicians
Carlisle
General Dentistry
Boyd, John DDS
Provider ID: TPV4988-01
Gender: Male
268 Hwy 62
Bardwell, KY 42023
(270) 628-3512
Fax: (270) 628-3513
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
TH 8:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 27
06/01/2016
Specialty Physicians
Crittenden
Allergy & Immunology
Rankin, Bradley MD
Provider ID: 618602
Gender: Male
Family Allergy Asthma
110 Country Club Dr
Marion, KY 42064
(270) 444-6828
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Ear, Nose & Throat
Hawkins, James MD
Provider ID: 667229
Gender: Male
Crittenden Health
Systems
520 W Gum St
Marion, KY 42064
(270) 965-1044
Fax: (270) 965-1078
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
General Surgery
Bergin, James MD
Provider ID: 750849
Gender: Male
Tri-Rivers Healthcare
PLLC
308 S Main St
Marion, KY 42064
(270) 965-4377
Fax: (270) 965-9569
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Patton, Demetrius MD
Provider ID: 972782
Gender: Male
131 Hospital Dr
Salem, KY 42078
(270) 988-3298
Fax: (270) 884-4642
00 Yrs/99 Yrs
Baptist Health Paducah
Crittenden County
Hospital
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
Patton, Demetrius MD
Provider ID: 972782
Gender: Male
141 Hospital Dr
Salem, KY 42078
(270) 988-3298
Fax: (270) 988-4642
00 Yrs/99 Yrs
Baptist Health Paducah
Crittenden County
Hospital
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
Patton, Demetrius MD
Provider ID: 972782
Gender: Male
308 S Main St
Marion, KY 42078
(270) 965-4377
Fax: (270) 965-9569
00 Yrs/99 Yrs
Baptist Health Paducah
Crittenden County
Hospital
Livingston Hospital &
Healthca
M-F 9:00 AM - 5:00 PM
PCMH: No
Gynecology
Optometry
Rousseau, Thomas MD
Parker, Sarah OD
Provider ID: 633693
Provider ID: TPV2004-01
Gender: Male
Gender: Female
Thomas G Rousseau MD 713 S. Main St.
PLLC
Marion, KY 42064
520 W Gum St
(270) 965-5280
Marion, KY 42064
Fax: (270) 965-9194
(270) 965-1073
00 Yrs/99 Yrs
Fax: (270) 965-0981
M-F 9:00 AM - 5:00 PM
12 Yrs/70 Yrs
PCMH: No
Crittenden County
Porter, Adria OD
Hospital
Provider ID: TPV4326-01
M-F 8:00 AM - 5:00 PM
Gender: Female
PCMH: No
713 S. Main St.
Hematology & Oncology Marion, KY 42064
(270) 965-5280
Skinner, William MD
Fax: (270) 965-9194
Provider ID: 627100
00 Yrs/99 Yrs
Gender: Male
M-F 9:00 AM - 5:00 PM
West Kentucky
PCMH: No
Hematology Oncology
G
Talley, Daniel OD
Hwy 60
Provider ID: TPV2003-01
Marion, KY 42064
Gender: Male
(270) 441-4343
713 S. Main St.
00 Yrs/99 Yrs
Marion, KY 42064
M-F 9:00 AM - 5:00 PM
(270) 965-5280
PCMH: No
Fax: (270) 965-9194
00 Yrs/99 Yrs
Ophthalmology
M-F 9:00 AM - 5:00 PM
PCMH: No
Gillespie, Mark MD
Provider ID: TPV4929-02
Gender: Male
713 S. Main St.
Marion, KY 42064
(270) 965-5281
Fax: (270) 965-1061
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 28
06/01/2016
Specialty Physicians
Fulton
General Surgery
Nuclear Radiology
Gooch, Allen MD
Davis, Mark MD
Provider ID: 631890
Provider ID: 671267
Gender: Male
Gender: Male
Parkway Regional
Virtual Radiologic
Medical Clinic Inc
Professionals LL
2006 Holiday Ln Ste 500 2000 Holiday Ln
Fulton, KY 42041
Fulton, KY 42041
(270) 472-8143
(952) 595-1100
Fax: (270) 472-2438
Fax: (612) 294-4903
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Baptist Health
Madisonville
PCMH: No
M-F 9:00 AM - 5:00 PM
Geriatric Medicine
PCMH: No
Benigno, Daisy MD
Orthopaedic Surgery
Provider ID: 1164686
Fulbright, Bennie MD
Gender: Female
Jackson Purchase Primary
Provider ID: 633687
Care Hickm
Gender: Male
2003 South 7th St
Parkway Regional
Hickman, KY 42050
Medical Clinic Inc
(270) 236-3337
2006 Holiday Ln Ste 300
Fax: (270) 236-3340
Fulton, KY 42041
18 Yrs/99 Yrs
(270) 472-8120
M-F 8:00 AM - 4:30 PM
Fax: (270) 472-8123
PCMH: No
00 Yrs/99 Yrs
Benigno, Daisy MD
M-F 8:00 AM - 5:00 PM
Provider ID: 1165434
PCMH: No
Gender: Female
Pediatric
Parkway Regional
Gastroenterology
Medical Clinic Inc
2003 S 7th St
Jeffries, Angela MD
Hickman, KY 42050
Provider ID: 631706
(270) 236-3202
Gender: Female
Fax: (270) 236-9597
Ulrf Pediatric
00 Yrs/99 Yrs
Gastroenterology
M-F 8:00 AM - 5:00 PM
9880 Angies Way Ste 330
PCMH: No
Fulton, KY 42041
(502) 852-7670
Fax: (502) 852-7743
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 29
06/01/2016
Specialty Physicians
Graves
Cardiology
Salvucci, Thomas DO
Provider ID: 698381
Gender: Male
Pinelake Physician
Practice LLC
1029 Medical Center Cir
Mayfield, KY 42066
(270) 251-4545
Fax: (270) 251-4546
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Chiropractic
Young, Chad DC
Provider ID: 667485
Gender: Male
Young Healthcare LLC
1011 Paris Rd Ste 341
Mayfield, KY 42066
(207) 251-0907
Fax: (207) 251-0908
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Young, Chad DC
Provider ID: 934073
Gender: Male
Young Healthcare LLC
1011 Paris Rd Ste 341
Mayfield, KY 42066
(207) 251-0907
Fax: (207) 251-0908
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Ear, Nose & Throat
Triana, Rudolph MD
Provider ID: 629304
Gender: Male
Pinelake Physician
Practice LLC
1029 Medical Center Cir
Ste 200
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4081
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 8:00 AM - 4:30 PM
PCMH: No
Triana, Rudolph MD
Provider ID: 629304
Gender: Male
Pinelake Physician
Practice LLC
1111 Medical Center Cir
Ste 200
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4081
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 8:00 AM - 4:30 PM
PCMH: No
Gastroenterology
Cuadrado, Ruben MD
Provider ID: 1185473
Gender: Male
Jackson Purchase
Gastroenterology A
1029 Medical Center
Circle Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Cuadrado, Ruben MD
Provider ID: 611646
Gender: Male
Purchase
Gastroenterology
Associate
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No
Hendon, Shane DO
Provider ID: 700629
Gender: Male
Purchase
Gastroenterology
Associate
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 30
Torok, Anita MD
Provider ID: 1164684
Gender: Female
Jackson Purchase
Gastroenterology A
1029 Medical Center
Circle Ste 401A
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Torok, Anita MD
Provider ID: 611667
Gender: Female
Purchase
Gastroenterology
Associate
1029 Medical Center Cir
Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No
General Dentistry
Flener, Candace DMD
Provider ID: TPV4206-14
Gender: Female
315 South 6th St
Mayfield, KY 42066
(270) 247-2552
08 Yrs/20 Yrs
M-TH 8:30 AM - 5:30 PM
PCMH: No
06/01/2016
Specialty Physicians
Graves
General Dentistry - cont. Thompson, Benjamin
Conkright, William MD
DMD
Freeman, Bryan DMD
Provider ID: TPV27653-01 Provider ID: 614366
Gender: Male
Gender: Male
Provider ID: TPV10762-01 312 Wyatt DR
Purchase Cancer Group
Gender: Male
PSC
Mayfield, KY 42066
312 Wyatt DR
220 W Walnut St
(270) 247-1966
Mayfield, KY 42066
Mayfield, KY 42066
Fax: (270) 247-5471
(270) 247-1966
(270) 554-0011
00 Yrs/99 Yrs
Fax: (270) 247-5471
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Baptist Health Paducah
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
General Surgery
PCMH: No
PCMH: No
Johnson, Benjamin DMD Thistlethwaite, William
Nephrology
MD
Provider ID: TPV13558-02 Provider ID: 1045424
Pitaras, Elias MD
Gender: Male
Gender: Male
Provider ID: 716374
312 Wyatt DR
Pinelake Physician
Gender: Male
Practices
LLC
Mayfield, KY 42066
Pinelake Physician
1111 Medical Center Cir
Practice LLC
(270) 247-1966
Mayfield, KY 42066
1029 Medical Center Cir
Fax: (270) 247-5471
Ste 401
(270) 251-4527
00 Yrs/99 Yrs
Mayfield, KY 42066
Fax:
(270)
251-4075
freemandental2@gmail.
(270) 251-4547
com
02 Yrs/99 Yrs
Fax: (270) 251-4522
M-F 8:00 AM - 5:00 PM
Tj Samson Community
Hospital
00 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 12:00 PM
Jackson Purchase
Strange, Samantha DMD PCMH: No
Medical Center
M-F 8:00 AM - 4:30 PM
Provider ID: TPV27386-01 Hematology & Oncology PCMH: No
Gender: Female
Conkright, William MD
Nuclear Radiology
312 Wyatt DR
Mayfield, KY 42066
Provider ID: 614366
Buck, James MD
(270) 247-1966
Gender: Male
Provider ID: 601232
Fax: (270) 247-5471
Purchase
Cancer
Group
Gender: Male
00 Yrs/99 Yrs
PSC
Central Kentucky
freemandental@outlook.
1029
Medical
Center
Cir
Radiology PLLC
com
Ste
403
1099 Medical Center Cir
M-F 8:00 AM - 5:00 PM
Mayfield,
KY
42066
Mayfield, KY 42066
PCMH: No
(270) 554-0011
(859) 737-2783
Fax: (270) 554-6540
Fax: (859) 737-3326
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 31
Obstetrics/Gynecology
Wynstra, Jonathan MD
Provider ID: 1173874
Gender: Male
Mayfield Family
Medicine
1111 Medical Center Circle
Mayfield, KY 42066
(270) 251-4543
Fax: (270) 251-4544
16 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Wynstra, Jonathan MD
Provider ID: 618658
Gender: Male
Wynstra Womens
Healthcare
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4543
Fax: (270) 251-4544
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Ophthalmology
Williams, Johnny MD
Provider ID: TPV4787-01
Gender: Male
1029 Medical Center
Circle
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4546
00 Yrs/99 Yrs
M-TH 7:00 AM - 6:00 PM
F 7:00 AM - 12:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Graves
Optometry
Smith, Tony OD
Provider ID:
Batts, Rockatonia OD
TPV1487655437WL
Provider ID: TPV2933-01
Gender: Male
Gender: Female
1225 Paris Rd.
1400 Commonwealth Dr Mayfield, KY 42066
Mayfield, KY 42066
(270) 247-0358
(270) 247-2417
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Orthodontics
PCMH: No
Bugg, Kelly OD
Provider ID: TPV3374-03
Gender: Female
813 Paris Rd Ste B
Mayfield, KY 42066
(270) 247-5532
Fax: (270) 247-0245
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Dunker, Deborah DMD
Provider ID: TPV3246-01
Gender: Female
822 Paris Rd
Mayfield, KY 42066
(270) 247-0751
Fax: (270) 247-0757
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lyles, Natasha OD
Provider ID: TPV5001-01 Milliner, Matthew DMD
Gender: Female
1400 Commonwealth Dr Provider ID: TPV13231-01
Gender: Male
Mayfield, KY 42066
822 Paris Rd
(270) 247-2417
Mayfield, KY 42066
00 Yrs/99 Yrs
(270) 247-0751
M-F 8:00 AM - 5:00 PM
Fax: (270) 247-0757
PCMH: No
00 Yrs/99 Yrs
Sheridan, Donise OD
mayfieldortho@gmail.
Provider ID: TPV4574-02 com
Gender: Female
M-F 8:00 AM - 5:00 PM
1400 Commonwealth Dr PCMH: No
Mayfield, KY 42066
(270) 247-2417
Fax: (270) 247-2090
00 Yrs/99 Yrs
MWF 8:00 AM - 5:00 PM
T 9:00 AM - 7:00 PM
TH 8:00 AM - 4:00 PM
PCMH: No
Orthopaedic Surgery
Hunt, Philip MD
Provider ID: 1148881
Gender: Male
Pinelake Physician
Practice LLC
1029 Medical Center
Circle Ste 308
Mayfield, KY 42066
(270) 251-4495
Fax: (270) 251-4496
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Pulmonary Disease
Dos Remedios, Roberto
MD
Provider ID: 614338
Gender: Male
Jackson Purchase
Pulmonary Medicine
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4040
Fax: (270) 247-0998
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Podiatry
Sports Medicine
Little, Jessica DPM
Provider ID: 1021216
Gender: Female
Pinelake Physician
Practices LLC
1029 Medical Center Cir
Ste 401B
Mayfield, KY 42066
(270) 251-4590
Fax: (270) 251-4591
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Braxton, Thomas MD
Provider ID: 632500
Gender: Male
Pinelake Physician
Practice LLC
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4547
Fax: (270) 251-4086
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-W 8:00 AM - 6:30 PM
TH 8:00 AM - 6:00 PM
PCMH: No
Richardson, Jeffrey DPM
Provider ID: 651277
Gender: Male
Pinelake Physicians
Practice LLC
1029 Medical Center
Circle
Mayfield, KY 42066
(270) 251-4545
Fax: (270) 251-4546
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 32
Urology
Stanczyk, Christopher
DO
Provider ID: 633706
Gender: Male
Christopher G Stanczyk
DO DBA Weste
1029 Medical Center Cir
Ste 200
Mayfield, KY 42066
(270) 251-4545
Fax: (270) 251-4546
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Livingston
General Surgery
Barnes, William MD
Provider ID: 594986
Gender: Male
Livingston Hospital and
Healthcare
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
Fax: (270) 988-3900
00 Yrs/99 Yrs
Crittenden County
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Patton, Demetrius MD
Provider ID: 979925
Gender: Male
Tririvers Healthcare PLLC
131 Hospital Dr
Salem, KY 42078
(270) 988-3298
Fax: (270) 988-4642
00 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 8:00 AM - 5:00 PM
PCMH: No
Patton, Demetrius MD
Provider ID: 979925
Gender: Male
Tririvers Healthcare PLLC
141 Hospital Dr
Salem, KY 42078
(270) 988-3298
Fax: (270) 988-4642
00 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Patton, Demetrius MD
Neurology
Hogancamp, William MD
Provider ID: 979925
Gender: Male
Tririvers Healthcare PLLC Provider ID: 615272
Gender: Male
205 E Adair St
Comprehensive
Smithland, KY 42081
Neurological Services
(270) 988-2146
131 Hospital Dr
Fax: (270) 988-4492
Salem, KY 42078
00 Yrs/99 Yrs
(270) 575-9990
Livingston Hospital &
00 Yrs/99 Yrs
Healthca
M-W 8:00 AM - 5:00 PM Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
THF 8:00 AM - 4:00 PM
PCMH: No
PCMH: No
Patton, Demetrius MD
Provider ID: 979925
Gender: Male
Tririvers Healthcare PLLC
308 S Main St
Salem, KY 42078
(270) 965-4377
Fax: (270) 965-9569
00 Yrs/99 Yrs
Livingston Hospital &
Healthca
M-F 8:00 AM - 5:00 PM
PCMH: No
Hematology & Oncology
Skinner, William MD
Provider ID: 627100
Gender: Male
West Kentucky
Hematology Oncology
G
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 33
06/01/2016
Specialty Physicians
Lyon
Chiropractic
Schoonover, Kent DC
Provider ID: 604975
Gender: Male
Eddyville Chiropractic
21 State Rte 3305 S
Eddyville, KY 42038
(270) 388-7707
Fax: (270) 388-7707
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
General Dentistry
Sims, John DMD
Provider ID:
TPV32726DM-01
Gender: Male
260 Commerce St
Eddyville, KY 42038
(270) 388-9712
Fax: (270) 388-9713
00 Yrs/99 Yrs
MTH 9:00 AM - 5:00 PM
TW 9:00 AM - 6:00 PM
PCMH: No
www.wellcare.com/Kentucky | 34
06/01/2016
Specialty Physicians
Marshall
Chiropractic
Dermatology
Barrett, James DC
Provider ID: 618595
Gender: Male
Barrett Chiropractic
Center Inc
3002 US Hwy 641 N
Benton, KY 42025
(270) 527-7033
Fax: (270) 527-6826
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Ford, Halden MD
Provider ID: 611644
Gender: Male
Paducah Dermatology
PLLC
619 Old Symsonia Rd
Benton, KY 42025
(270) 444-8477
Fax: (270) 444-8479
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Hendon, Shane DO
Provider ID: 700629
Gender: Male
Purchase
Gastroenterology
Associate
615 Old Symsonia Rd
Benton, KY 42025
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: No
General Surgery
Beale, Robert MD
Provider ID: 600318
Gender: Male
Benton Medical Surgical
Associates
615 Old Symsonia Rd
Benton, KY 42025
(270) 527-4850
Fax: (270) 527-4853
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No
Snodgrass, Derek DC
Torok, Anita MD
Ear, Nose & Throat
Provider ID: 633760
Provider ID: 611667
Beale, Robert MD
Gender: Male
Gender: Female
Hawkins,
James
MD
Provider ID: 600318
Joshua A Adams DC DBA
Purchase
Provider
ID:
667229
Benton Chirop
Gender: Male
Gastroenterology
Gender: Male
112 E 5th St
Benton Medical Surgical
Associate
Marshall County Surgical 615 Old Symsonia Rd
Associates
Benton, KY 42025
& Medical
619 Old Symsonia Rd Ste
(270) 252-5840
Benton, KY 42025
617
Old
Symsonia
Rd
A Bld 2
Fax: (270) 527-8324
(270) 251-4575
Benton,
KY
42025
Benton, KY 42025
00 Yrs/99 Yrs
Fax: (270) 251-4577
(270)
527-2411
(270) 527-7400
MWF 9:00 AM - 6:00 PM
00 Yrs/99 Yrs
Fax: (270) 527-8734
Fax: (270) 527-2211
T 10:00 AM - 4:00 PM
Jackson Purchase
00
Yrs/99
Yrs
00 Yrs/99 Yrs
TH 9:00 AM - 5:00 PM
Medical Center
M-F
9:00
AM
5:00
PM
Jackson Purchase
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
Medical Center
PCMH: No
Travis, Michael DC
MTTHF 8:30 AM - 4:30
Gastroenterology
Provider ID: 1101251
General Dentistry
PM
Gender: Male
W 9:00 AM - 5:00 PM
Cuadrado, Ruben MD
Pasco, William DMD
Total Health Chiropractic Provider ID: 611646
PCMH: No
374 W 5th St
Gender: Male
Provider ID: TPV3938-02
Benton, KY 42025
Purchase
Gender: Male
(270) 906-2700
Gastroenterology
1317 Main St
Fax: (270) 906-2800
Associate
Benton, KY 42025
00 Yrs/99 Yrs
615 Old Symsonia Rd
(270) 527-3434
M-F 8:00 AM - 5:00 PM
Benton, KY 42025
Fax: (270) 527-6525
Sat 9:00 AM - 10:00 PM
(270) 251-4575
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 251-4577
M-TH 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Jackson Purchase
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 35
06/01/2016
Specialty Physicians
Marshall
Hematology
Brown, Christina DO
Provider ID: 916094
Gender: Female
MD Partners PLLC
615 Old Symsonia Rd
Benton, KY 42025
(270) 527-4850
Fax: (270) 527-4853
12 Yrs/99 Yrs
Marshall County
Hospital
Norton Audubon
Hospital
Norton Brownsboro
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Gould, James MD
Provider ID: 600455
Gender: Male
Oncology Associates of
West Kentuck
503 George McClain Dr
Benton, KY 42025
(270) 444-3930
Fax: (270) 442-5284
00 Yrs/99 Yrs
Baptist Health Paducah
Languages: Spanish,
Tagalog
M-F 9:00 AM - 5:00 PM
PCMH: No
Optometry
Ellis, Joe OD
Provider ID: TPV4752-01
Gender: Male
109 W 5th St
Benton, KY 42025
(270) 527-7421
Fax: (270) 527-3118
00 Yrs/99 Yrs
MWTHF 7:45 AM - 5:30
PM
T 7:45 AM - 7:00 PM
PCMH: No
Gibson, Wendy OD
Provider ID: TPV3505-01
Obstetrics/Gynecology
Gender: Female
Mueller, Susan MD
1512 Main St
Provider ID: 606305
Benton, KY 42025
Hematology & Oncology Gender: Female
(270) 527-0951
Contemporary
OB/GYN
Fax: (270) 527-1316
Conkright, William MD
of Western Kentu
00 Yrs/99 Yrs
615
Old
Symsonia
Rd
M-F 9:00 AM - 5:00 PM
Provider ID: 614366
Benton,
KY
42025
PCMH: No
Gender: Male
(270)
444-9199
Purchase Cancer Group
Hayes, Michael OD
Fax: (270) 444-9299
PSC
Provider ID:
00 Yrs/99 Yrs
83 Wellness Way
TPV1801839477WL
Baptist Health Paducah
Benton, KY 42025
Gender: Male
Lourdes Hospital Inc
(270) 554-0011
310 W. 5th St.
MTWTHFSat 8:00 AM 00 Yrs/99 Yrs
Benton, KY 42025
5:00 PM
Baptist Health Paducah
(270) 527-1605
PCMH: No
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Perkins, Eddie DO
M-F 8:00 AM - 5:00 PM
Provider ID: 1020108
PCMH: No
Gender: Male
Leonard, Ben OD
Baptist Health Medical
Provider ID: TPV8613-02
Group Inc
Gender: Male
5013 Gilbertsville Hwy
43 Industrial Pkwy
Calvert City, KY 42029
Calvert City, KY 42029
(270) 909-2196
(270) 395-8331
Fax: (270) 909-2204
Fax: (270) 395-5360
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 36
Lyles, Aaron OD
Provider ID: TPV4321-01
Gender: Male
109 W 5th St
Benton, KY 42025
(270) 527-7421
Fax: (270) 527-3118
00 Yrs/99 Yrs
M-F 7:45 AM - 5:30 PM
PCMH: No
Van Horn, Laurel OD
Provider ID: TPV4876-01
Gender: Female
109 W 5th St
Benton, KY 42025
(270) 527-7421
Fax: (270) 527-3118
00 Yrs/99 Yrs
M-F 7:45 AM - 5:30 PM
PCMH: No
Orthopaedic Surgery
Fulbright, Bennie MD
Provider ID: 633687
Gender: Male
Marshall County Surgical
and Medica
617 Old Symsonia Rd
Benton, KY 42025
(270) 527-2411
Fax: (270) 527-8734
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Marshall
Podiatry
Pulmonary Disease
Lampkin, Roger DPM
Dos Remedios, Roberto
MD
Provider ID: 618593
Provider ID: 614338
Gender: Male
Drs Naulty and Lampkin Gender: Male
Jackson Purchase
815 Birch St
Pulmonary Medicine
Benton, KY 42025
503 George McClain Dr
(270) 527-7014
Benton, KY 42025
00 Yrs/99 Yrs
Murray Calloway County (270) 251-4040
Fax: (270) 247-0998
Hospital
Trigg County Hospital
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Naulty, Stuart DPM
Provider ID: 1082851
Gender: Male
Stuart A Naulty DPM
815 Birch St
Benton, KY 42025
(270) 527-7014
Fax: (270) 527-7014
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Urology
Ransler, Charles MD
Provider ID: 601055
Gender: Male
Urology Group of
Paducah PSC
615 Old Symsonia Rd
Benton, KY 42025
(270) 442-3539
Fax: (270) 442-2051
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Sports Medicine
Bohannon, Todd MD
Provider ID: 798582
Gender: Male
Marshall County Surgical
& Medical
619 Old Symsonia Rd
Benton, KY 42025
(270) 527-2411
Fax: (270) 527-8734
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 5:00 PM
PCMH: No
Naulty, Stuart DPM
Provider ID: 618596
Gender: Male
Drs Naulty and Lampkin
Bohannon, Todd MD
815 Birch St
Provider ID: 798582
Benton, KY 42025
Gender: Male
(270) 527-7014
MD Partners PLLC
00 Yrs/99 Yrs
Murray Calloway County 615 Old Symsonia Rd
Benton, KY 42025
Hospital
(270) 527-4850
M-F 9:00 AM - 5:00 PM
Fax: (270) 527-4853
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 37
06/01/2016
Specialty Physicians
McCracken
Allergy & Immunology
Dyer, Brandi MD
Lotz, Douglas MD
Rankin, Bradley MD
Provider ID: 817951
Provider ID: 670090
Arora, Rajiv MD
Provider ID: 618602
Gender: Female
Gender: Male
Provider ID: 618688
Gender: Male
Family Allergy & Asthma Family Allergy and
Gender: Male
Asthma
Family Allergy and
2312 Kentucky Ave
Family Allergy & Asthma Paducah, KY 42003
Asthma
2312 Kentucky Ave
2312 Kentucky Ave
2312 Kentucky Ave
Paducah, KY 42003
(270) 442-5151
Paducah, KY 42003
Paducah, KY 42003
(270) 442-5151
Fax: (502) 429-6157
(270) 442-5151
(270) 442-5151
Fax:
(502)
429-6157
00 Yrs/99 Yrs
Fax: (502) 429-6157
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
M-F 8:30 AM - 5:00 PM
Baptist Health Paducah
PCMH: No
Guin, Jason MD
PCMH: No
M-F 8:00 AM - 5:00 PM
Miller, Natalie MD
Provider ID: 719261
PCMH: No
Bozeman, Sarah DO
Provider ID: 935270
Gender: Male
Provider ID: 671402
Richards, Nathan MD
Family Allergy & Asthma Gender: Female
Gender: Female
Family Allergy & Asthma Provider ID: 708707
2312 Kentucky Ave
Family Allergy & Asthma Paducah, KY 42003
Gender: Male
2312 Kentucky Ave
2312 Kentucky Ave
Family Allergy & Asthma
Paducah, KY 42003
(270) 442-5151
Paducah, KY 42003
2312 Kentucky Ave
(270) 442-5151
Fax: (502) 429-6157
(270) 442-5151
Paducah, KY 42003
Fax: (502) 429-6157
00 Yrs/99 Yrs
Fax: (502) 429-6157
(270) 442-5151
00
Yrs/99
Yrs
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Lotz, Douglas MD
PCMH: No
M-F 8:00 AM - 5:00 PM
Otto, Hans MD
Provider ID: 604245
PCMH: No
Coyle, Damon MD
Provider ID: 671342
Gender: Male
Provider ID: 714281
Sublett, James MD
Gender: Male
Family Allergy and
Gender: Male
Provider ID: 670144
Asthma
Family Allergy and
Family Allergy & Asthma 2312 Kentucky Ave
Asthma
Gender: Male
2312 Kentucky Ave
2312 Kentucky Ave
Family Allergy & Asthma
Paducah, KY 42003
Paducah, KY 42003
Paducah,
KY
42003
2312 Kentucky Ave
(270) 442-5151
(270) 442-5151
(270) 442-5151
Paducah, KY 42003
Fax: (502) 429-6157
Fax: (502) 429-6157
Fax: (502) 429-6157
(270) 442-5151
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (502) 429-6157
Languages: Spanish
Kosair Childrens Medical M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Center Brownsb
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Norton Hospital
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 38
06/01/2016
Specialty Physicians
McCracken
Allergy & Immunology cont.
Turbyville, Joseph MD
Provider ID: 683774
Gender: Male
Family Allergy and
Asthma
2312 Kentucky Ave
Paducah, KY 42003
(270) 442-5151
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Cardiology
Bose, Sanjay MD
Provider ID: 636790
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Cardiac Electrophysiology Broadbent, John MD
Provider ID: 622308
Akram, Muhammad MD
Gender: Male
Cardiology of Paducah
Provider ID: 601143
225 Medical Center Dr
Gender: Male
Ste 204
Baptist Health Medical
Paducah, KY 42003
Group Inc
(270) 441-4298
2601 Kentucky Ave Ste
Fax: (270) 441-4243
301
18 Yrs/99 Yrs
Paducah, KY 42003
M-F 8:00 AM - 4:30 PM
(270) 575-3113
PCMH: No
00 Yrs/99 Yrs
Languages: Urdu
Dittoe, Nathaniel MD
M-F 8:00 AM - 5:00 PM
Provider ID: 764298
PCMH: No
Gender: Male
Baptist Health Medical
Wassynger, William MD
Group
2601 Kentucky Ave Ste
Provider ID: 1143059
301
Gender: Male
Paducah, KY 42003
Cardiology Associates of (270) 575-3113
Paducah
Fax: (270) 575-3135
1532 Lone Oak Rd Ste 415 00 Yrs/99 Yrs
Paducah, KY 42003
M-F 8:00 AM - 5:00 PM
(270) 442-0103
PCMH: No
Fax: (270) 442-0109
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Flynn, Shawn MD
Hogancamp, Charles MD
Provider ID: 1165556
Provider ID: 667206
Gender: Male
Mercy Health Physicians Gender: Male
Kentucky LL
Cardiology Associates of
Paducah
225 Medical Center Dr
Ste 402
1532 Lone Oak Rd Ste 415
Paducah, KY 42003
Paducah, KY 42003
(270) 442-0103
(270) 442-0103
Fax: (270) 442-0109
Fax: (270) 442-0109
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Ford, James MD
Provider ID: 637844
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (570) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lineberry, Mark MD
Gwinn Jr, James MD
McElroy, Bradley MD
Provider ID: 166083
Gender: Male
Western Ky Cardiology
Consultants
2601 Kentucky Ave Dob 1
Ste 301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
10 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 636791
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 39
Provider ID: 667165
Gender: Male
Cardiology Associates of
Paducah
1532 Lone Oak Rd Ste 415
Paducah, KY 42003
(270) 442-0103
Fax: (270) 442-0109
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Cardiology - cont.
McElroy, Bradley MD
Provider ID: 751882
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Johnson, Carl MD
Provider ID: 601554
Gender: Male
Baptist Health Medical
Group
2601 Kentucky Ave Ste
300
Paducah, KY 42003
(270) 443-5564
Fax: (270) 443-5549
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Chiropractic
Talley, Joel MD
Atnip, Mark DC
Provider ID: 667211
Provider ID: 656161
Gender: Male
Gender: Male
Cardiology Associates of McCracken County
Paducah
Chiropractic PSC
1532 Lone Oak Rd Ste 415 2731 Jackson St
Paducah, KY 42003
Paducah, KY 42003
(270) 442-0103
(270) 444-7111
Fax: (270) 442-0109
Fax: (270) 444-7122
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Cardiovascular Surgery
Akram, Muhammad MD
Provider ID: 601143
Gender: Male
Baptist Health Medical
Group Inc
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
00 Yrs/99 Yrs
Languages: Urdu
M-F 8:00 AM - 5:00 PM
PCMH: No
Canter, Jamie DC
Provider ID: 600628
Gender: Male
Canter Chiropractic and
Rehab
5164 Hinkleville Rd
Paducah, KY 42001
(270) 442-0110
Fax: (270) 442-0171
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Heisner, Monty DC
Provider ID: 608049
Gender: Male
Monty Heisner DC
5649 Benton Rd
Paducah, KY 42003
(270) 898-3052
Fax: (270) 898-3052
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Kahre, Travis DC
Provider ID: 618578
Gender: Male
Southside Family
Chiropractic
3333 Irvin Cobb Dr Ste
104
Paducah, KY 42003
(270) 442-2211
Fax: (270) 933-1054
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Hinson, William DC
Provider ID: 1152875
Schipp, Heath DC
Gender: Male
Provider ID: 612898
Adio Chiropractic Inc
2405 Lone Oak Rd Ste B Gender: Male
Active Care Chiropractic
Paducah, KY 42003
3240 Lone Oak Rd Ste C
(270) 554-5073
Paducah, KY 42003
Fax: (270) 554-5074
(270) 554-7661
00 Yrs/99 Yrs
MWF 7:30 AM - 6:00 PM Fax: (270) 554-7683
00 Yrs/99 Yrs
TTH 2:30 AM - 6:00 PM
MW 9:00 AM - 6:00 PM
Sat 9:00 AM - 11:00 PM
TTH 12:00 AM - 6:00 PM
PCMH: No
F 8:00 AM - 5:00 PM
Hoying, Shane DC
PCMH: No
Provider ID: 602487
Snodgrass, Derek DC
Gender: Male
Hoying Healthcare PLLC Provider ID: 633760
Gender: Male
2769 W Park Dr
Hoying Healthcare PLLC
Paducah, KY 42001
2769 W Park Dr
(270) 575-1000
Paducah, KY 42001
Fax: (270) 575-1002
(270) 575-1000
00 Yrs/99 Yrs
Fax: (270) 575-1002
MWTH 7:00 AM - 5:00
00 Yrs/99 Yrs
PM
MWTH 7:00 AM - 5:00
T 9:00 AM - 5:00 PM
PM
F 7:00 AM - 12:00 PM
T 2:00 AM - 6:00 PM
PCMH: No
F 7:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 40
06/01/2016
Specialty Physicians
McCracken
Chiropractic - cont.
Ear, Nose & Throat
Sparks, Rodney DC
Provider ID: 611663
Gender: Male
Paducah Chiropractic
Center
657 Lone Oak Rd Ste 6
Paducah, KY 42003
(270) 442-4054
Fax: (270) 442-4055
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Ballert, John MD
Provider ID: 1129378
Gender: Male
Baptist Health Medical
Group Inc
2605 Kentucky Ave Ste
601
Paducah, KY 42003
(270) 408-4368
Fax: (270) 408-3272
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Winters, Michael DC
Hawkins, James MD
Provider ID: 721976
Provider ID: 667229
Gender: Male
Gender: Male
Dr Michael A Winters
DC
James M Hawkins PSC
2830 Lone Oak Rd Ste 4 3131 Parisa Dr
Paducah, KY 42003
Paducah, KY 42003
(270) 554-2141
(270) 444-8000
Fax: (270) 554-8795
Fax: (270) 444-8032
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Dermatology
Ford, Halden MD
Provider ID: 611644
Gender: Male
Paducah Dermatology
PLLC
2601 Kentucky Ave Ste
402
Paducah, KY 42003
(270) 444-8477
Fax: (270) 444-9291
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 4:30 PM
PCMH: No
Jones, Shawn MD
Provider ID: 1129391
Gender: Male
Baptist Health Medical
Group Inc
2605 Kentucky Ave Ste
601
Paducah, KY 42003
(270) 408-4368
Fax: (270) 408-3272
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Resser, John MD
Provider ID: 1129413
Gender: Male
Baptist Health Medical
Group Inc
2605 Kentucky Ave Ste
601
Paducah, KY 42003
(270) 408-4368
Fax: (270) 408-3272
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Gastroenterology
Angles, Ronald DO
Provider ID: 907861
Gender: Male
Mercy Gastroenterology
1532 Lone Oak Rd Ste 310
Paducah, KY 42003
(270) 443-0777
Fax: (270) 443-0999
00 Yrs/99 Yrs
Lourdes Hospital Inc
M-F 8:00 AM - 4:30 PM
PCMH: No
Resser, John MD
Bodnarchuk, Gary MD
Provider ID: 601065
Gender: Male
Purchase Derm ENT LLC Provider ID: 667237
Gender: Male
2605 Kentucky Ave Ste
Mercy Gastroenterology
601
1532 Lone Oak Rd Ste 310
Paducah, KY 42003
Paducah, KY 42003
(270) 408-4368
(270) 443-0777
Fax: (270) 408-3272
Fax: (270) 443-0999
00 Yrs/99 Yrs
Murray Calloway County 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hospital
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Carter, Russell DO
Endocrinology, Diabetes, Provider ID: 1180582
Metabolism
Gender: Male
Baptist Health Medical
De LA Rosa, Raymond
Group Inc
MD
2605 Kentucky Ave Ste
Provider ID: 602052
202
Gender: Male
Paducah, KY 42003
Paducah Endocrinology
(270) 441-4700
225 Medical Center Dr
Fax: (270) 441-4707
Ste 409
00 Yrs/99 Yrs
Paducah, KY 42003
M-F 8:00 AM - 5:00 PM
(270) 441-4498
PCMH: No
Fax: (270) 767-3199
18 Yrs/99 Yrs
Baptist Health Paducah
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 5:30 PM
PCMH: No
www.wellcare.com/Kentucky | 41
06/01/2016
Specialty Physicians
McCracken
Gastroenterology - cont. Shiben, Timothy MD
Craft, John DMD
Mahan, Jonathan DMD
Provider ID: 1180986
Provider ID: TPV4187-01
Hendon, Shane DO
Provider ID:
Gender: Male
Gender: Male
Provider ID: 700629
TPV1457582371DM
Baptist Health Medical
2136 Broadway
Gender: Male
Gender: Male
Group Inc
Paducah, KY 42001
Mercy Gastroenterology 2605 Kentucky Ave Ste
1836 Broadway St
(270) 442-2310
1532 Lone Oak Rd Ste 310 202
Paducah, KY 42001
Fax: (270) 442-2953
Paducah, KY 42003
Paducah, KY 42003
(270) 442-0256
08 Yrs/99 Yrs
(270) 443-0777
(270) 441-4700
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
Fax: (270) 443-0999
Fax: (270) 441-4707
M 7:00 AM - 5:00 PM
PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
TTH 7:00 AM - 6:00 PM
TH 8:00 AM - 12:00 PM
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
W 7:00 AM - 7:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
F 7:00 AM - 4:00 PM
Freeman, Bryan DMD
PCMH: No
Sat 8:00 AM - 2:00 PM
General Dentistry
PCMH: No
McCombs, Ricky MD
Provider ID: TPV10762-02
Abell, Francis DMD
Provider ID: 1180893
Gender: Male
Newby, Brent DDS
Provider ID: TPV8839-01
Gender: Male
4616 Village Square DR
Provider ID:
Gender: Female
Baptist Health Medical
TPV20765-05
Paducah, KY 42001
4975 Alben Barkley DR
Group Inc
Gender: Male
(270) 444-6080
Ste 3
2605 Kentucky Ave Ste
1836 Broadway St
Fax: (270) 444-6033
Paducah, KY 42001
202
Paducah, KY 42001
03 Yrs/10 Yrs
(270) 554-3031
Paducah, KY 42003
(270) 442-0256
freemandental2@gmail.
Fax: (270) 554-5714
(270) 441-4700
com
Fax: (270) 442-8730
03 Yrs/20 Yrs
Fax: (270) 441-4707
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 7:00 AM - 5:00 PM PCMH: No
00 Yrs/99 Yrs
M 7:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
TTH 7:00 AM - 6:00 PM
Johnson, Benjamin DMD
PCMH: No
W 7:00 AM - 7:00 PM
Bohle, Charles DDS
F 7:00 AM - 4:00 PM
Provider ID:
Reed, Pamela MD
Provider ID: TPV13558-03 Sat 8:00 AM - 2:00 PM
TPV152178-02
Provider ID: 614413
Gender: Male
PCMH: No
Gender: Male
Gender: Female
4616 Village Square DR
1836 Broadway St
Bluegrass
Paducah, KY 42001
Strange, Samantha DMD
Paducah, KY 42001
Gastroenterology PSC
(270) 444-6080
(270) 442-0256
225 Medical Center Dr
Fax: (270) 444-6080
Provider ID:
Ste 307
Fax: (270) 442-8730
TPV27386-02
00 Yrs/99 Yrs
Paducah, KY 42003
00 Yrs/99 Yrs
Gender: Female
freemandental2@gmail.
(270) 441-4700
M 7:00 AM - 5:00 PM
com
4616 Village Square DR
Fax: (270) 441-4707
TTH 7:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Paducah, KY 42001
00 Yrs/99 Yrs
W 7:00 AM - 7:00 PM
PCMH: No
(270) 444-6080
Baptist Health Paducah
F 7:00 AM - 4:00 PM
Fax: (270) 444-6033
M-F 9:00 AM - 5:00 PM
Sat 8:00 AM - 2:00 PM
00 Yrs/99 Yrs
PCMH: No
PCMH: No
freemandental@outlook.
com
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 42
06/01/2016
Specialty Physicians
McCracken
General Dentistry - cont. Gill, Rebecca MD
Jackson, April MD
Provider ID: 885785
Provider ID: 603596
Thompson, Benjamin
Gender: Female
Gender: Female
DMD
Mercy General Surgery
Surgical Group of
Provider ID: TPV27653-02 1532 Lone Oak Rd Ste
Paducah PSC
Gender: Male
235
2601 Kentucky Ave Ste
4616 Village Square DR
201 Dob Ste 1
Paducah, KY 42003
Paducah, KY 42001
Paducah, KY 42003
(270) 442-9463
(270) 444-6080
(270) 538-9555
Fax: (270) 442-2241
Fax: (270) 444-6033
Fax: (270) 538-9554
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Lourdes Hospital Inc
PCMH: No
PCMH: No
M-F 9:00 AM - 5:00 PM
Grogan, Edwin MD
PCMH: No
General Surgery
Provider ID: 667158
Mauterer, David MD
Gender: Male
Barnes, Lindsey MD
Provider ID: 941880
Mercy
General
Surgery
Provider ID: 1049545
Gender: Male
1532
Lone
Oak
Rd
Ste
Gender: Female
235
Mercy General Surgery
Mercy General Surgery
Paducah, KY 42003
1532 Lone Oak Rd Ste
1532 Lone Oak Rd Ste
235
(270)
442-9463
235
Paducah, KY 42003
Fax:
(270)
442-2241
Paducah, KY 42003
(270) 442-9463
00
Yrs/99
Yrs
(270) 442-9463
Fax: (270) 442-2241
M-F 8:00 AM - 5:00 PM
Fax: (270) 442-2241
00 Yrs/99 Yrs
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:00 PM Howard, Daniel MD
PCMH: No
PCMH: No
Provider ID: 667207
Petty, Sue MD
Bicking, Griffin DO
Gender: Male
Provider ID: 1084101
Provider ID: 722088
Mercy
General
Surgery
Gender: Female
Gender: Male
1532
Lone
Oak
Rd
Ste
Baptist Health Medical
Baptist Health Medical
235
Group Inc
Group
Paducah,
KY
42003
2601 Kentucky Ave Ste
2603 Kentucky Ave Ste
102
(270) 442-9463
105
Paducah, KY 42003
Fax: (270) 442-2241
Paducah, KY 42003
(270) 575-8462
00
Yrs/99
Yrs
(270) 415-7724
Fax: (270) 443-0235
MTF
8:00
AM
4:00
PM
Fax: (270) 415-7727
WTH 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 43
Quintero, Paige MD
Provider ID: 790818
Gender: Female
W Kentucky Surgical
Associates
2601 Kentucky Ave Ste
102
Paducah, KY 42003
(270) 443-0202
Fax: (270) 443-0235
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Stigall, Kevin MD
Provider ID: 601507
Gender: Male
Surgical Group of
Paducah PSC
225 Medical Center Dr
Ste 303
Paducah, KY 42003
(270) 441-4303
Fax: (270) 441-4329
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Tyrrell, Dana MD
Provider ID: 601078
Gender: Male
Surgical Group of
Paducah PSC
2601 Kentucky Ave Ste
201 Dob Ste 1
Paducah, KY 42003
(270) 538-9555
Fax: (270) 538-9554
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Hematology & Oncology Gould, James MD
Provider ID: 600455
Concepcion, Luis MD
Gender: Male
Oncology Associates of
Provider ID: 607028
West Kentuck
Gender: Male
2603 Kentucky Ave Ste
Oncology Associates of
403
West Kentuck
Paducah, KY 42003
2603 Kentucky Ave Ste
(270) 444-3930
403
Fax: (270) 442-5284
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 444-3930
Baptist Health Paducah
Fax: (270) 442-5284
Languages: Spanish,
00 Yrs/99 Yrs
Tagalog
Baptist Health Paducah
MTTHF 8:00 AM - 5:00
MW 8:30 AM - 4:00 PM
PM
T 9:00 AM - 5:00 PM
W 9:00 AM - 5:00 PM
THF 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
Modi, Yashpal MD
Conkright, William MD
Provider ID: 726758
Gender: Male
Provider ID: 614366
Baptist Health Medical
Gender: Male
Group
Purchase Cancer Group
100 Kiana Ct
PSC
Paducah, KY 42001
100 Kiana Ct
(270) 554-0011
Paducah, KY 42001
Fax: (270) 554-6540
(270) 554-0011
00 Yrs/99 Yrs
Fax: (270) 554-6540
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM Skinner, William MD
Provider ID: 627100
PCMH: No
Gender: Male
West Kentucky
Hematology Oncology
G
225 Medical Center Dr
Ste 301
Paducah, KY 42003
(270) 441-4343
Fax: (270) 441-4344
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Winkler, Charles MD
Provider ID: 799990
Gender: Male
Baptist Health Cancer
and Blood Dis
100 Kiana Ct
Paducah, KY 42001
(270) 554-0011
Fax: (270) 554-6540
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Hyperbaric Medicine
Banister, Jason MD
Provider ID: 627089
Gender: Male
Lourdes Wound Care
225 Medical Center Dr
Ste 205
Paducah, KY 42003
(270) 441-4462
Fax: (270) 441-4461
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Infectious Disease
Fleenor Ford, Anita MD
Provider ID: 668988
Gender: Female
Heartland Cares Inc
619 N 30th St
Paducah, KY 42001
(270) 444-8144
Fax: (270) 444-8147
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 44
Fleenor-Ford, Anita MD
Provider ID: 669082
Gender: Female
Infectious Disease
Associates PLLC
2601 Kentucky Ave Ste
404
Paducah, KY 42003
(270) 444-9889
Fax: (270) 444-9291
00 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
PCMH: No
Lebuhn, Carl MD
Provider ID: 627279
Gender: Male
Heartland Cares Inc
619 N 30th St
Paducah, KY 42001
(270) 444-8183
Fax: (270) 444-8147
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lebuhn, Carl MD
Provider ID: 727795
Gender: Male
2601 Kentucky Ave Ste
404
Paducah, KY 42003
(270) 444-9889
Fax: (270) 444-9291
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Maternal Fetal Medicine
How, Helen MD
Provider ID: 671690
Gender: Female
Norton Maternal Fetal
Medicine Spec
2605 Kentucky Ave Bldg
3 Ste 102
Paducah, KY 42003
(270) 415-8965
Fax: (855) 855-4585
00 Yrs/99 Yrs
Languages: Chinese
M-F 8:00 AM - 4:30 PM
PCMH: No
Jamie, Whitney MD
Provider ID: 671191
Gender: Female
Norton Maternal Fetal
Medicine Spec
2605 Kentucky Ave Bldg
3 Ste 102
Paducah, KY 42003
(270) 415-8965
Fax: (855) 855-4585
13 Yrs/99 Yrs
PCMH: No
Medical Oncology
Chua, Winston MD
Provider ID: 603137
Gender: Male
Oncology Associates of
West Kentuck
2603 Kentucky Ave Ste
403
Paducah, KY 42003
(270) 444-3930
Fax: (270) 442-5284
00 Yrs/99 Yrs
Languages: Chinese,
Tagalog
M 9:00 AM - 5:00 PM
TWTHF 8:00 AM - 5:00
PM
PCMH: No
Neonatal Perinatal
Medicine
Singh, Tamina MD
Pitaras, Elias MD
Provider ID: 631607
Provider ID: 716374
Gender: Female
Gender: Male
Bibb, Karen MD
Ulrf Neonatal Follow-Up Pinelake Physician
Provider ID: 631902
Practice LLC
2605 Kentucky Ave Ste
Gender: Female
102
1532 Lone Oak Rd Ste G
Ulrf Neonatal Follow-Up Paducah, KY 42003
15
2605 Kentucky Ave Ste
Paducah, KY 42003
(502) 852-7049
102
(270) 443-3392
Fax: (502) 852-0135
Paducah, KY 42003
Fax: (270) 251-4522
00 Yrs/18 Yrs
(502) 852-7049
Kosair Childrens Medical 00 Yrs/99 Yrs
Fax: (502) 852-0135
Center Brownsb
Jackson Purchase
00 Yrs/18 Yrs
Medical Center
M-F 8:00 AM - 5:00 PM
Kosair Childrens Medical PCMH: No
M-F 8:00 AM - 5:00 PM
Center Brownsb
PCMH: No
Nephrology
M-F 8:00 AM - 5:00 PM
Wilkerson, Jonathan MD
PCMH: No
Ali, Shaukat MD
Provider ID: 708691
Fischer, Hannah MD
Gender: Male
Provider ID: 1152080
Provider ID: 700588
Jackson Purchase
Gender: Female
Gender: Male
Medical Associates
Ulrf Neonatal Follow-Up Western Kentucky
1532 Lone Oak Rd Ste 315
Kidney Specialists
2605 Kentucky Ave Ste
Paducah, KY 42003
102
1532 Lone Oak Rd Ste 315 (270) 538-5880
Paducah, KY 42003
Paducah, KY 42003
Fax: (270) 538-5870
(502) 852-7049
(270) 538-5880
00 Yrs/99 Yrs
Fax: (502) 852-0135
Fax: (270) 538-5870
Lourdes Hospital Inc
00 Yrs/99 Yrs
15 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Languages: Spanish,
PCMH: No
Urdu, Punjabi
PCMH: No
Neurology
M-F 8:00 AM - 5:00 PM
Sanders, Lynda MD
PCMH: No
Bhasin, Pramit MD
Provider ID: 630405
McCullough, Steven DO
Provider ID: 1124875
Gender: Female
Gender: Male
Pediatrix Medical Group Provider ID: 700598
Baptist Health Medical
of Kentucky
Gender: Male
Group Inc
2501 Kentucky Ave
Western Kentucky
2603 Kentucky Ave Ste
Kidney Specialists
Paducah, KY 42003
304
1532 Lone Oak Rd Ste 315 Paducah, KY 42003
(270) 575-2100
Paducah, KY 42003
00 Yrs/01 Yrs
(270) 415-4800
(270) 538-5880
Cincinnati Childrens
Fax: (270) 415-4801
Hospital Medical Center Fax: (270) 538-5870
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
15 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
AM - 8:00 PM
Languages: American
PCMH: No
PCMH: No
Sign Language
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 45
06/01/2016
Specialty Physicians
McCracken
Neurology - cont.
Grubbs, John MD
Provider ID: 627280
Gender: Male
Baptist Health Medical
Group
2603 Kentucky Ave Ste
304
Paducah, KY 42003
(270) 415-7724
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hogancamp, William MD
Provider ID: 615272
Gender: Male
Comprehensive
Neurology & Sleep
3101 Parisa Dr
Paducah, KY 42003
(270) 575-9990
Fax: (270) 575-9950
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Hogancamp, William MD Woeltz, Van MD
Provider ID: 615272
Gender: Male
Sleep Source Inc
3121 Parisa Dr
Paducah, KY 42003
(270) 575-0080
Fax: (270) 575-0081
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Hogancamp, William MD
Provider ID: 615272
Gender: Male
Sleep Source Inc
3125 Parisa Dr
Paducah, KY 42003
(270) 575-0080
Fax: (270) 575-0081
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Siva, Niranjan MD
Provider ID: 618708
Hogancamp, William MD Gender: Male
Neurology Group of
Provider ID: 615272
Paducah
Gender: Male
2603 Kentucky Ave Ste
Comprehensive
402
Neurology & Sleep
Paducah, KY 42003
4645 Village Square Dr
(270) 443-2830
Ste A
Fax: (270) 443-2753
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 575-9990
Baptist Health Paducah
Fax: (270) 575-9950
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Neurosurgery
Finizio, Joseph MD
Provider ID: 671209
Gender: Male
Norton Neurosurgical
Institute of K
225 Medical Center Dr
Ste 401
Paducah, KY 42003
(270) 441-4800
Fax: (270) 441-2830
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
St Marys Medical
Center-Evansville
M-F 8:00 AM - 4:30 PM
PCMH: No
Davies, Theodore MD
Provider ID: 627138
Gender: Male
Baptist Health Medical
Group
2603 Kentucky Ave Ste
404
Paducah, KY 42003
(270) 443-6472
Fax: (270) 442-1649
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Gruber, Thomas MD
Provider ID: 700555
Gender: Male
Baptist Health Medical
Group
2603 Kentucky Ave Ste
404
Paducah, KY 42003
(270) 443-6472
Fax: (270) 442-1649
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Doss, Kimathi MD
Provider ID: 671559
Gender: Male
Norton Neurosurgical
Institute of K
225 Medical Center Dr
Ste 401
Paducah, KY 42003
(270) 441-4800
Fax: (270) 441-2830
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Hall, Graham MD
Provider ID: 1129953
Gender: Male
Baptist Health Medical
Group Inc
2603 Kentucky Ave Ste
404
Paducah, KY 42003
(270) 443-6472
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 611664
Gender: Male
Neurology Group of
Paducah
2603 Kentucky Ave Ste
402
Paducah, KY 42003
(270) 443-2830
Fax: (270) 443-2753
05 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 4:00 PM
PCMH: No
www.wellcare.com/Kentucky | 46
06/01/2016
Specialty Physicians
McCracken
Neurosurgery - cont.
Shanks, Todd MD
Provider ID: 671558
Gender: Male
Norton Neurosurgical
Institute of K
225 Medical Center Dr
Ste 401
Paducah, KY 42003
(270) 441-4800
Fax: (270) 441-2830
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Cuthrell, William MD
Provider ID: 671499
Gender: Male
Norton Mfm Specialties
2605 Kentucky Ave Bldg
3 Ste 102
Paducah, KY 42003
(270) 415-8965
Fax: (855) 855-4585
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
England, Gary MD
Provider ID: 667145
Gender: Male
Obstetrics
Gary T England MD
2603 Kentucky Ave Ste
Hope Unlimited
101
Provider ID: 716458
Paducah, KY 42003
1101 Jefferson St
(270) 442-5102
Paducah, KY 42001
Fax: (270) 442-5108
(270) 442-1166
00 Yrs/99 Yrs
Fax: (270) 442-9948
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 9:00 AM - 4:00 PM PCMH: No
PCMH: No
Glover, Michael MD
Obstetrics/Gynecology
Provider ID: 1148079
Gender: Male
Cardenas, Jorge MD
Addixxion Recovery of
Kentucky LLC
Provider ID: 720077
216 Berger Rd
Gender: Male
Paducah, KY 42003
Hope Unlimited
(270) 441-0025
1101 Jefferson St
Fax: (270) 441-9018
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 442-1166
M-F 9:00 AM - 5:00 PM
Fax: (270) 442-9948
PCMH: No
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Hamon, Andrew MD
Provider ID: 1143730
Gender: Male
Addixxion Recovery of
Ketucky LLC
216 Berger Rd
Paducah, KY 42003
(270) 441-0025
Fax: (270) 441-9018
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Hodges, Pamela MD
Provider ID: 609806
Gender: Female
Pamela Hodges MD PSC
2605 Kentucky Ave Ste
304
Paducah, KY 42003
(270) 575-4555
Fax: (270) 575-4882
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:30 AM - 5:00 PM
PCMH: No
Lasher, Lisa MD
Provider ID: 667155
Gender: Female
Mercy OB/GYN
1532 Lone Oak Rd Ste
245
Paducah, KY 42003
(270) 538-5700
Fax: (270) 538-5701
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
PCMH: No
www.wellcare.com/Kentucky | 47
Mueller, Susan MD
Provider ID: 606305
Gender: Female
Contemporary OB-GYN
of Western Kent
2601 Kentucky Ave Ste
103 Dob 1
Paducah, KY 42003
(270) 444-9199
Fax: (270) 444-9299
00 Yrs/99 Yrs
Baptist Health Paducah
Lourdes Hospital Inc
MTWTHFSat 8:00 AM 5:00 PM
PCMH: No
Mueller, Susan MD
Provider ID: 606305
Gender: Female
Contemporary OB-GYN
of Western Kent
2605 Kentucky Ave Ste
103 Dob 3
Paducah, KY 42003
(270) 444-9199
Fax: (270) 444-9299
00 Yrs/99 Yrs
Baptist Health Paducah
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
PCMH: No
Perkins, Eddie DO
Provider ID: 1020108
Gender: Male
Baptist Health Medical
Group Inc
2535 Broadway St
Paducah, KY 42001
(270) 575-3001
Fax: (270) 575-3001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Obstetrics/Gynecology - Tolar, Stewart MD
cont.
Provider ID: 927291
Gender: Male
Savells, Amber MD
Baptist Health Medical
Provider ID: 927413
Group
Gender: Female
2603 Kentucky Ave Ste
Baptist Health Medical
201
Group
Paducah, KY 42003
2603 Kentucky Ave Ste
(270) 443-1220
201
Fax: (270) 443-0023
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 443-1220
M-F 8:00 AM - 5:00 PM
Fax: (270) 443-0023
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Wagner, Amanda MD
PCMH: No
Provider ID: 667254
Gender: Female
Slatter Hall, Miriam MD
Mercy OB/GYN
Provider ID: 1144167
1532 Lone Oak Rd Ste
Gender: Female
245
Mercy OB/GYN
Paducah, KY 42003
1532 Lone Oak Rd Ste
(270) 538-5700
245
Fax: (270) 538-5701
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 538-5700
M-F 9:00 AM - 4:00 PM
Fax: (270) 538-5701
PCMH: No
00 Yrs/99 Yrs
Ophthalmology
M-F 8:00 AM - 4:30 PM
PCMH: No
Baker, Carl MD
Tabb, Thomas MD
Provider ID: TPV2931-01
Provider ID: 671495
Gender: Male
Gender: Male
1903 Broadway St
Norton Mfm Specialists
Paducah, KY 42001
2605 Kentucky Ave Bldg (270) 442-1671
3 Ste 102
Fax: (270) 442-7307
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 415-8965
M-F 8:00 AM - 5:00 PM
Fax: (855) 855-4585
PCMH: No
00 Yrs/99 Yrs
Baker, Carl MD
Norton Hospital
Provider ID: TPV2931-02
M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No
1900 Broadway Ste 2
Paducah, KY 42001
(270) 443-4393
Fax: (270) 443-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Baker, Carl MD
Provider ID: TPV2931-05
Gender: Male
4630 Village Square Dr
Ste 102
Paducah, KY 42001
(270) 443-4393
Fax: (270) 443-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Borodofsky, Ted MD
Provider ID: TPV5226-01
Gender: Male
1903 Broadway St
Paducah, KY 42001
(270) 442-1671
Fax: (270) 442-7307
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Johnson, Jeff MD
Provider ID: TPV4726-01
Gender: Male
1903 Broadway St
Paducah, KY 42001
(270) 442-1671
Fax: (270) 442-7307
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Marquess, Carl MD
Provider ID: TPV3288-01
Gender: Male
1750 Broadway St
Paducah, KY 42001
(270) 442-2744
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Meeks, Landen MD
Provider ID: TPV16518-01
Bowers, Barbara MD
Gender: Male
Provider ID: TPV3623-03
1903 Broadway St
Gender: Female
Paducah, KY 42001
1130 Lone Oak Rd
(270) 442-1671
Paducah, KY 42003
Fax: (270) 442-7307
(270) 415-0245
00 Yrs/99 Yrs
Fax: (270) 415-0248
ogroup@paducaheyes.
00 Yrs/99 Yrs
com
anna@seebetterpaducah. M-F 8:00 AM - 5:00 PM
com
PCMH: No
M-F 8:00 AM - 5:00 PM
Parker, Derrall MD
PCMH: No
Provider ID: TPV3768-04
Gillespie, Mark MD
Gender: Male
Provider ID: TPV4929-01
632 Lone Oak Rd
Gender: Male
Paducah, KY 42003
1903 Broadway St
(270) 442-1402
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 442-1671
M-F 8:00 AM - 5:00 PM
Fax: (270) 442-7307
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 48
06/01/2016
Specialty Physicians
McCracken
Ophthalmology - cont.
Parker, Derrall MD
Provider ID: TPV3768-05
Gender: Male
2315 Broadway
Paducah, KY 42001
(800) 455-3937
Fax: (573) 335-1559
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Taylor, Jeffery MD
Provider ID: TPV4727-01
Gender: Male
1903 Broadway St
Paducah, KY 42001
(270) 442-1671
Fax: (270) 442-7307
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tilford, Ron MD
Provider ID: TPV5129-01
Gender: Male
1903 Broadway St
Paducah, KY 42001
(270) 442-1671
Fax: (270) 442-7307
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tilford, Ron MD
Provider ID: TPV5129-02
Gender: Male
1900 Broadway Ste 2
Paducah, KY 42001
(270) 443-4393
Fax: (270) 443-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tilford, Ron MD
Provider ID: TPV5129-05
Gender: Male
4630 Village Square Dr
Ste 102
Paducah, KY 42001
(270) 443-4393
Fax: (270) 443-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Optician
Seilheimer, August Ldo
Provider ID: TPV4941-02
Gender: Male
3340 Irvin Cobb Dr
Paducah, KY 42003
(270) 575-1919
Fax: (270) 575-1922
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Beauchamp, Johnathan
OD
Provider ID: TPV23732-05
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Westrich, David MD
Provider ID: TPV3770-04
Optometry
Gender: Male
Beliles, Christopher OD
632 Lone Oak Rd
Ahmad, Bilal OD
ID:
Paducah, KY 42003
Provider ID: TPV23729-05 Provider
TPV1184751893WL
(270) 442-1490
Gender: Male
Gender: Male
Fax: (573) 335-1559
3910 Hinkleville Rd
5130 Hinkleville Rd.
00 Yrs/99 Yrs
Paducah, KY 42001
Paducah, KY 42001
M-F 8:00 AM - 5:00 PM
(270) 443-2090
(270) 444-0066
PCMH: No
Fax: (270) 444-2086
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Williams, Lori MD
PCMH: No
Provider ID: TPV23735-01 M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Bharadia, Mohamed OD
Gender: Female
Sun 1:00 AM - 5:00 PM
1900 Broadway Ste 2
PCMH: No
Provider ID:
Paducah, KY 42001
TPV103757-08
(270) 443-4393
Batts, Gregory OD
Gender: Male
Fax: (270) 443-7779
Provider ID: TPV2932-01
3910 Hinkleville Rd
00 Yrs/99 Yrs
Gender: Male
Paducah, KY 42001
ogroup@paducaheyes.
1900 Broadway St Ste 1
(270) 443-2090
com
Paducah, KY 42001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 443-2020
M-F 8:00 AM - 5:00 PM
PCMH: No
Fax: (270) 443-2036
PCMH: No
00 Yrs/99 Yrs
Williams, Lori MD
Provider ID: TPV23735-02 M-F 9:00 AM - 5:30 PM Bowling, Aja OD
Provider ID: TPV3371-08
PCMH: No
Gender: Female
Gender: Female
4630 Village Square Dr
3910 Hinkleville Rd
Ste 102
Paducah, KY 42001
Paducah, KY 42001
(270) 443-2090
(270) 443-4393
Fax: (270) 444-2086
Fax: (270) 443-7779
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
PCMH: No
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 49
06/01/2016
Specialty Physicians
McCracken
Optometry - cont.
Brumit, Michael OD
Provider ID:
TPV950000269-08
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Busey, Lannie OD
Coleman, Justin OD
Provider ID: TPV4869-08 Provider ID: TPV18437-12
Gender: Male
Gender: Male
3910 Hinkleville Rd
3910 Hinkleville Rd
Paducah, KY 42001
Paducah, KY 42001
(270) 443-2090
(270) 443-2090
Fax: (270) 444-2086
Fax: (270) 444-2086
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
Case, Michael OD
Provider ID:
TPV23297-04
Buckner, James OD
Gender: Male
Provider ID: TPV4689-08 3910 Hinkleville Rd
Gender: Male
Paducah, KY 42001
3910 Hinkleville Rd
(502) 966-2020
Paducah, KY 42001
Fax: (502) 966-2099
(270) 443-2090
00 Yrs/99 Yrs
Fax: (270) 444-2086
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
PCMH: No
Sun 1:00 AM - 5:00 PM
Chatham, Kaley OD
PCMH: No
Provider ID: TPV5915-08
Burt, Kevin OD
Gender: Female
Provider ID: TPV4845-08 3910 Hinkleville Rd
Gender: Male
Paducah, KY 42001
3910 Hinkleville Rd
(270) 443-2090
Paducah, KY 42001
Fax: (270) 444-2086
(270) 443-2090
00 Yrs/99 Yrs
Fax: (270) 444-2086
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
PCMH: No
Sun 1:00 AM - 5:00 PM
PCMH: No
Edling, Marie OD
Provider ID: TPV3376-08
Gender: Female
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Cora, Eduardo OD
Eger, Michael OD
Provider ID: TPV4582-09 Provider ID: TPV4975-08
Gender: Male
Gender: Male
3910 Hinkleville Rd
3910 Hinkleville Rd
Paducah, KY 42001
Paducah, KY 42001
(270) 443-2090
(270) 443-2090
Fax: (270) 444-2086
Fax: (270) 444-2086
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
Crockett, Jason OD
Provider ID: TPV4717-09
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 50
Gamblin, Steven OD
Provider ID: TPV5198-02
Gender: Male
3340 Irvin Cobb Dr
Paducah, KY 42003
(270) 441-7332
Fax: (270) 442-1385
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Gersh, Richard OD
Provider ID: TPV3379-08
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Optometry - cont.
Henderson, Richard OD
Jones, John OD
Lawrence, Stephen OD
Provider ID: TPV5690-08
Gibson, Jennifer OD
Provider ID: TPV3387-08 Gender: Male
Provider ID: TPV5184-09
Provider ID: TPV4737-01
Gender: Male
Gender: Male
3910 Hinkleville Rd
Gender: Female
3910 Hinkleville Rd
3910 Hinkleville Rd
Paducah, KY 42001
649 Lone Oak Rd
Paducah, KY 42001
Paducah, KY 42001
(270) 443-2090
Paducah, KY 42003
(270) 443-2090
(270) 443-2090
Fax: (270) 444-2086
(270) 415-5080
Fax: (270) 444-2086
Fax: (270) 444-2086
00 Yrs/99 Yrs
Fax: (270) 415-5070
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
PCMH: No
Kailey, Manavjeet OD
Gibson, Jennifer OD
Hobbs, Timothy OD
Provider ID: TPV27010-04 Lentz, Anita OD
Provider ID: TPV4737-04
Provider ID: TPV3575-02
Provider ID: TPV4365-02
Gender: Male
Gender: Female
Gender: Male
Gender: Female
3910 Hinkleville Rd
2302 Kentucky Ave
1130 Lone Oak Rd
2302 Kentucky Ave
Paducah, KY 42001
Paducah, KY 42003
Paducah, KY 42003
Paducah, KY 42003
(270) 443-2090
(270) 575-0977
(270) 415-0245
(270) 575-0977
Fax: (270) 444-2086
Fax: (270) 575-9793
Fax: (270) 415-0248
Fax: (270) 575-9793
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
PCMH: No
PCMH: No
PCMH: No
Sun 1:00 AM - 5:00 PM
PCMH:
No
Grady, Susan OD
Johnson, Douglas OD
Love, Marcus OD
Provider ID: TPV1855-09
Provider ID: TPV3408-08 Klutts, Fred OD
Provider ID: TPV3422-08
Gender: Female
Gender: Male
Provider ID: TPV3420-08 Gender: Male
3910 Hinkleville Rd
3910 Hinkleville Rd
3910 Hinkleville Rd
Gender: Male
Paducah, KY 42001
Paducah, KY 42001
Paducah, KY 42001
3910 Hinkleville Rd
(270) 443-2090
(270) 443-2090
(270) 443-2090
Paducah, KY 42001
Fax: (270) 444-2086
Fax: (270) 444-2086
Fax: (270) 444-2086
(270) 443-2090
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 444-2086
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
PCMH: No
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Green, Rebecca OD
PCMH:
No
PCMH: No
Sun
1:00
AM
5:00
PM
Provider ID: TPV18575-08
PCMH:
No
Gender: Female
Johnson, Lauren OD
3910 Hinkleville Rd
Provider ID:
Paducah, KY 42001
TPV28925-05
(270) 443-2090
Gender: Female
Fax: (270) 444-2086
3910 Hinkleville Rd
00 Yrs/99 Yrs
Paducah, KY 42001
M-F 9:00 AM - 8:00 PM
(270) 443-2090
Sat 9:00 AM - 5:30 PM
Fax: (270) 444-2086
Sun 1:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 51
06/01/2016
Specialty Physicians
McCracken
Optometry - cont.
Luckett, James OD
Provider ID: TPV3427-08
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Lyles, Natasha OD
Provider ID: TPV5001-06
Gender: Female
1130 Lone Oak Rd
Paducah, KY 42003
(270) 415-0245
Fax: (270) 415-0248
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
PCMH: No
Lynn, Mark OD
Provider ID: TPV3431-08
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Mansfield, Levi OD
Nagatoshi, Raymond OD Novotny, Patrick OD
Provider ID:
Provider ID:
TPV20438-23
Provider ID: TPV3456-08 TPV1356475-07
Gender: Male
Gender: Male
Gender: Male
5101 Hinkleville Rd Ste
3910 Hinkleville Rd
3910 Hinkleville Rd
490
Paducah, KY 42001
Paducah, KY 42001
Paducah, KY 42001
(270) 443-2090
(270) 443-2090
(270) 442-7222
Fax: (270) 444-2086
Fax: (270) 444-2086
Fax: (270) 442-1385
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
M-TH 9:30 AM - 6:00 PM Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
F 9:30 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
Martin, William OD
Provider ID:
TPV1831232503WL
Gender: Male
3220 Irving Cobb Dr.
Paducah, KY 42003
(270) 444-6941
00 Yrs/99 Yrs
PCMH: No
Newberry, Daniel OD
Oliver, Crystal OD
Provider ID: TPV20437-01 Provider ID: TPV27472-07
Gender: Male
Gender: Female
60 Lakeview DR
3910 Hinkleville Rd
Paducah, KY 42001
Paducah, KY 42001
(270) 554-2000
(270) 443-2090
Fax: (270) 554-2989
Fax: (270) 444-2086
00 Yrs/99 Yrs
00 Yrs/99 Yrs
newberryeyecare@hotmail. M-F 9:00 AM - 8:00 PM
com
Sat 9:00 AM - 5:30 PM
Meyer, Victor OD
M-TH 8:30 AM - 5:30 PM Sun 1:00 AM - 5:00 PM
Provider ID: TPV3434-08 F 9:00 AM - 4:00 PM
PCMH: No
Gender: Male
PCMH: No
3910 Hinkleville Rd
Oliver, Heather OD
Paducah, KY 42001
Nolan-Rose, Laura OD
Provider ID: TPV18436-15
(270) 443-2090
Gender: Female
Fax: (270) 444-2086
Provider ID: TPV13482-08 3910 Hinkleville Rd
00 Yrs/99 Yrs
Gender: Female
Paducah, KY 42001
M-F 9:00 AM - 8:00 PM
3910 Hinkleville Rd
(270) 443-2090
Sat 9:00 AM - 5:30 PM
Paducah, KY 42001
Fax: (270) 444-2086
Sun 1:00 AM - 5:00 PM
(270) 443-2090
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 444-2086
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
Montalvo, Noemi OD
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Provider ID: TPV3455-08 Sat 9:00 AM - 5:30 PM
PCMH: No
Gender: Female
Sun 1:00 AM - 5:00 PM
3910 Hinkleville Rd
PCMH: No
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 52
06/01/2016
Specialty Physicians
McCracken
Optometry - cont.
Omar, Rashid OD
Provider ID: TPV3459-15
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Owens, Mark OD
Provider ID: TPV4937-01
Gender: Male
1748 Broadway
Paducah, KY 42001
(270) 443-9955
Fax: (270) 442-1469
00 Yrs/99 Yrs
[email protected]
MW 9:00 AM - 6:00 PM
TTH 8:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
PCMH: No
Partain, Jeffrey OD
Provider ID: TPV4733-15
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Price, Martin OD
Provider ID: TPV3461-01
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Pulliam, Mark OD
Provider ID: TPV3462-18
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Roberts, Keith OD
Provider ID: TPV4829-15
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Robertson, Paul OD
Provider ID: TPV5034-02
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Rogers, Brian OD
Provider ID:
TPV24982-05
Reed, Tiffany OD
Provider ID: TPV5260-04 Gender: Male
3910 Hinkleville Rd
Gender: Female
3550 James Sanders Blvd Paducah, KY 42001
(270) 443-2090
Paducah, KY 42001
Fax: (270) 444-2086
(270) 444-6500
00 Yrs/99 Yrs
Fax: (270) 444-6923
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-TH 9:30 AM - 6:00 PM Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
Richert, Judith OD
Provider ID: TPV4805-08
Gender: Female
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 53
Rubesh, Grant OD
Provider ID: TPV3465-17
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Salee, Sarah OD
Provider ID: TPV5151-08
Gender: Female
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Sheridan, Donise OD
Provider ID: TPV4574-01
Gender: Female
1748 Broadway
Paducah, KY 42001
(270) 443-9955
Fax: (270) 442-1469
00 Yrs/99 Yrs
[email protected]
MW 9:00 AM - 6:00 PM
TTH 8:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Optometry - cont.
Smith, Stephen OD
Provider ID: TPV5187-16
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Snead, Kevin OD
Provider ID: TPV4850-12
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Souleyrette, Dale OD
Provider ID: TPV3467-15
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Spear, Steven OD
Provider ID: TPV5206-13
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Taylor, Terri OD
Provider ID: TPV6241-08
Gender: Female
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Stanis, Carl OD
Provider ID: TPV3468-18
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Tucker, David OD
Provider ID: TPV4540-01
Gender: Male
1748 Broadway
Paducah, KY 42001
(270) 443-9955
Fax: (270) 442-1469
00 Yrs/99 Yrs
[email protected]
MW 9:00 AM - 6:00 PM
TTH 8:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
PCMH: No
Sydnor, Carl OD
Provider ID: TPV4434-21
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tabassi, Bita OD
Provider ID: TPV4405-18
Gender: Female
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
Fax: (270) 444-2086
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Oral & Maxillofacial
Surgery
Bowles, Thomas DMD
Provider ID: TPV24711-02
Gender: Male
2850 Lone Oak Rd Ste 5
Paducah, KY 42003
(270) 554-2026
Fax: (270) 554-9164
05 Yrs/20 Yrs
M-TH 8:00 AM - 4:00 PM
F 7:00 AM - 1:00 PM
PCMH: No
Bowles, Thomas DMD
Provider ID: TPV24711-03
Gender: Male
2850 Lone Oak Rd Ste 5
Paducah, KY 42003
(270) 554-2026
Fax: (270) 554-9164
05 Yrs/20 Yrs
M-TH 8:00 AM - 4:00 PM
F 7:00 AM - 1:00 PM
PCMH: No
Heine, Robert DMD
Ward, William OD
Provider ID: TPV27033-05 Provider ID: TPV24100-02
Gender: Male
Gender: Male
2850 Lone Oak Rd Ste 5
3910 Hinkleville Rd
Paducah, KY 42003
Paducah, KY 42001
(270) 554-2026
(270) 443-2090
Fax: (270) 554-9164
Fax: (270) 444-2086
05 Yrs/20 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
F 7:00 AM - 1:00 PM
PCMH: No
PCMH: No
Wolf, Nicholas OD
Provider ID: TPV13175-16
Gender: Male
3910 Hinkleville Rd
Paducah, KY 42001
(270) 443-2090
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 54
06/01/2016
Specialty Physicians
McCracken
Orthodontics
Hill, Clint MD
Kern, Brian MD
Patel, Shiraz MD
Provider ID: 604093
Provider ID: 603991
Provider ID: 603135
Rice, Michael DMD
Gender: Male
Gender: Male
Gender: Male
Provider ID: TPV3987-01
Southern Orthopedic
Orthopedic Institute of
Southern Orthopedic
Gender: Male
Assoc SC DBA Or
W Ky
Assoc SC DBA Or
2850 Lone Oak Rd Ste 2 2605 Kentucky Ave Ste
4787 Alben Barkley Rd
3530 Lone Oak Rd Ste A
Paducah, KY 42003
103
Paducah, KY 42002
Paducah, KY 42003
(270) 534-1991
Paducah, KY 42003
(270) 442-9461
(270) 442-9491
Fax: (270) 534-1993
(270) 442-9461
Fax: (270) 441-0079
Fax: (270) 554-8987
06 Yrs/20 Yrs
Fax: (270) 441-0079
00 Yrs/99 Yrs
00 Yrs/99 Yrs
[email protected]
00 Yrs/99 Yrs
Baptist Health Paducah
Baptist Health Paducah
M-TH 9:00 AM - 5:00 PM Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
Languages: Spanish
PCMH: No
MWF 8:00 AM - 11:00 PM PCMH: No
M-F 7:30 AM - 5:00 PM
TTH
9:00
AM
5:00
PM
PCMH: No
Orthopaedic Surgery
Kern, Brian MD
PCMH: No
Provider ID: 603991
Romine, Spencer MD
Deweese, Frederick MD Jackson, Stephen MD
Gender: Male
Provider ID: 719255
Southern
Orthopedic
Gender: Male
Provider ID: 600558
Provider ID: 600365
Assoc
SC
DBA
Or
Orthopedic Institute of
Gender: Male
Gender: Male
2605
Kentucky
Ave
Ste
W Ky
Orthopedic Institute of
Orthopedic
Institute
of
103
4787 Alben Barkley Rd
W Ky
W Ky
Paducah,
KY
42003
Paducah, KY 42002
4787 Alben Barkley Rd
4787 Alben Barkley Rd
(270)
442-9461
(270) 442-9461
Paducah, KY 42002
Paducah, KY 42002
Fax:
(270)
441-0079
Fax: (270) 441-0079
(270) 442-9461
(270) 442-9461
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Fax: (270) 441-0079
Fax: (270) 441-0079
Baptist
Health
Paducah
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MWF
8:00
AM
5:00
PM
PCMH: No
Baptist Health Paducah
Baptist Health Paducah
TTH
9:00
AM
5:00
PM
M-F 8:00 AM - 5:00 PM
Stodghill, Burton MD
Lourdes Hospital Inc
PCMH: No
PCMH: No
Provider ID: 600591
M-F 8:00 AM - 5:00 PM
Patel,
Shiraz
MD
Gender: Male
PCMH: No
Hill, Clint MD
Provider
ID:
603135
Orthopedic Institute of
Provider ID: 604093
Jackson, Stephen MD
Gender:
Male
W Ky
Gender: Male
Orthopedic Institute of
4787 Alben Barkley Rd
4787 Alben Barkley Rd
Provider ID: 600365
WK
Paducah, KY 42002
Paducah, KY 42002
Gender: Male
4787 Alben Barkley Rd
(270) 442-9461
(270) 442-9461
Southern Orthopedic
Paducah, KY 42002
Fax: (270) 441-0079
Fax: (270) 441-0079
Assoc SC DBA Or
(270) 442-9461
00 Yrs/99 Yrs
00 Yrs/99 Yrs
2605 Kentucky Ave Ste
Fax: (270) 441-0079
Baptist Health Paducah
Baptist Health Paducah
103
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Paducah, KY 42003
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
(270) 442-9461
Languages: Spanish
PCMH: No
Fax: (270) 441-0079
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Baptist Health Paducah
Lourdes Hospital Inc
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 55
06/01/2016
Specialty Physicians
McCracken
Orthopaedic Surgery cont.
Stodghill, Burton MD
Provider ID: 600591
Gender: Male
Southern Orthopedic
Assoc SC DBA Or
2605 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
Baptist Health Paducah
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Strenge, Kenneth MD
Provider ID: 603988
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
PCMH: No
Strenge, Kenneth MD
Provider ID: 603988
Gender: Male
Southern Orthopedic
Assoc SC DBA Or
2605 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
Baptist Health Paducah
MTF 8:00 AM - 5:00 PM
WTH 9:00 AM - 5:00 PM
PCMH: No
Pain Management
Lillevig, Joel MD
Provider ID: 622842
Gender: Male
Anesthesiology of
Paducah PSC
2507 Broadway St
Paducah, KY 42001
(270) 442-8228
Fax: (270) 442-9566
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Malla, Yogesh MD
Provider ID: 613487
Gender: Male
Pain Management
Center of Paducah
2831 Lone Oak Rd
Paducah, KY 42003
(270) 554-8373
Fax: (270) 554-0493
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Manchikanti, Laximaiah
MD
Provider ID: 613486
Gender: Male
Pain Management
Center of Paducah
2831 Lone Oak Rd
Paducah, KY 42003
(270) 554-8373
Fax: (270) 554-0493
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
PCMH: No
Rayes-Prince, Emily MD
Holland, Brian MD
Provider ID: 604352
Provider ID: 614368
Gender: Male
Gender: Female
Ulrf Pediatric Cardiology
The Healing Journey PSC 2605 Kentucky Ave
3025 Clay St
Paducah, KY 42003
Paducah, KY 42001
(502) 585-4802
(270) 444-4032
Fax: (502) 589-1256
Fax: (270) 444-4038
00 Yrs/18 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
Johnsrude, Christopher
Pediatric Cardiology
MD
Provider ID: 601837
Alexander, Craig MD
Gender: Male
Provider ID: 1165384
Ulrf Pediatric Cardiology
Gender: Male
2605 Kentucky Ave
Ulrf Pediatric Cardiology Paducah, KY 42003
2605 Kentucky Ave
(502) 585-4802
Paducah, KY 42003
Fax: (502) 589-1256
(502) 585-4802
00 Yrs/18 Yrs
Fax: (502) 589-1256
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
MTWTHFSatSun 8:00
AM - 5:00 PM
Keller, Bradley MD
PCMH: No
Provider ID: 631924
Gender: Male
Bullock, Smitha MD
Pediatric Cardiology
Provider ID: 727257
Associates PSC
Gender: Female
400 Park Ave Ste D
Ulrf Pediatric Cardiology Paducah, KY 42001
2605 Kentucky Ave
(502) 585-4802
Paducah, KY 42003
Fax: (502) 589-1256
(502) 585-4802
00 Yrs/18 Yrs
Fax: (502) 589-1256
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Keller, Bradley MD
PCMH: No
Provider ID: 631924
Gender: Male
Ulrf Pediatric Cardiology
2605 Kentucky Ave
Paducah, KY 42003
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 56
06/01/2016
Specialty Physicians
McCracken
Pediatric Cardiology cont.
Leahy, Ryan MD
Sobczyk, Walter MD
Wright, Lucinda MD
Provider ID: 631604
Provider ID: 604601
Provider ID: 601497
Gender: Male
Kim, Edward MD
Gender: Female
Ulrf Pediatric Cardiology Gender: Male
Provider ID: 602973
Ulrf
Pediatric
Cardiology
Ulrf Pediatric Cardiology
2605 Kentucky Ave
Gender: Male
2605 Kentucky Ave
2605 Kentucky Ave
Paducah, KY 42003
Pediatric Cardiology
Paducah, KY 42003
Paducah, KY 42003
(502) 585-4802
Associates PSC
(502) 585-4802
(502) 585-4802
Fax: (502) 589-1256
400 Park Ave Ste D
Fax:
(502)
589-1256
Fax: (502) 589-1256
00 Yrs/18 Yrs
Paducah, KY 42001
00 Yrs/18 Yrs
Kosair Childrens Medical 00 Yrs/18 Yrs
(502) 585-4802
Center Brownsb
Jennie Stuart Medical
Kosair Childrens Medical
Fax: (502) 589-1256
Center
Center Brownsb
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM Matta, Jyothi MD
PCMH: No
Sparks, Joshua MD
PCMH: No
Provider ID: 602336
Pediatrics
Provider ID: 723048
Gender: Female
Kim, Edward MD
Ulrf Pediatric Cardiology Gender: Male
Provider ID: 602973
Ulrf Pediatric Cardiology Bibb, Karen MD
2605 Kentucky Ave
Provider ID: 631902
Gender: Male
2605 Kentucky Ave
Paducah, KY 42003
Gender: Female
Ulrf Pediatric Cardiology (502) 585-4802
Paducah, KY 42003
Ulrf Neonatal Follow-Up
2605 Kentucky Ave
(502) 585-4802
Fax: (502) 589-1256
2605 Kentucky Ave Ste
Paducah, KY 42003
Fax: (502) 589-1256
00 Yrs/99 Yrs
102
(502) 585-4802
Kosair Childrens Medical 00 Yrs/99 Yrs
Paducah, KY 42003
Fax: (502) 589-1256
Center Brownsb
M-F 8:00 AM - 5:00 PM
(502) 852-7049
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Fax: (502) 852-0135
Norton Hospital
PCMH: No
00 Yrs/18 Yrs
Wright,
Lucinda
MD
M-F 8:00 AM - 5:00 PM
Kosair Childrens Medical
Sobczyk, Walter MD
Provider ID: 601497
PCMH: No
Center Brownsb
Provider ID: 604601
Gender: Female
Lau, Kelvin MD
M-F 8:00 AM - 5:00 PM
Gender: Male
Pediatric Cardiology
Provider ID: 1129973
PCMH: No
Associates PSC
Pediatric Cardiology
Gender: Male
Associates PSC
400 Park Ave Ste D
Bullock, Smitha MD
Ulrf Pediatric Cardiology 400 Park Ave Ste D
Paducah, KY 42001
Provider ID: 727257
2605 Kentucky Ave
Paducah, KY 42001
(502) 585-4802
Gender: Female
Paducah, KY 42003
(502) 585-4802
Fax: (502) 589-1256
Ulrf Pediatric Cardiology
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
Fax: (502) 589-1256
00 Yrs/18 Yrs
Kosair Childrens Medical 2605 Kentucky Ave
Paducah, KY 42003
00 Yrs/99 Yrs
Center Brownsb
Jennie Stuart Medical
(502) 585-4802
M-F 8:00 AM - 5:00 PM
Norton Hospital
Center
Fax: (502) 589-1256
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 57
06/01/2016
Specialty Physicians
McCracken
Pediatrics - cont.
Leahy, Ryan MD
Sanders, Lynda MD
Sparks, Joshua MD
Provider ID: 631604
Provider ID: 723048
Cecil, John MD
Provider ID: 630405
Gender: Male
Gender: Male
Provider ID: 654730
Ulrf Pediatric Cardiology Gender: Female
Ulrf Pediatric Cardiology
Gender: Male
Pediatrix
Medical
Group
2605 Kentucky Ave
2605 Kentucky Ave
Cecil Clinic
of Kentucky
Paducah, KY 42003
Paducah, KY 42003
5158 Village Square Dr
2501 Kentucky Ave
(502) 585-4802
(502) 585-4802
Paducah, KY 42001
Paducah, KY 42003
Fax: (502) 589-1256
Fax: (502) 589-1256
(270) 575-1010
(270)
575-2100
00 Yrs/18 Yrs
00 Yrs/99 Yrs
Fax: (270) 575-1007
Kosair Childrens Medical 00 Yrs/01 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Cincinnati Childrens
Center Brownsb
PCMH: No
M-F 8:00 AM - 5:00 PM
Hospital Medical Center
M-F 8:00 AM - 5:00 PM
Physical Medicine &
PCMH: No
MTWTHFSatSun 8:00
PCMH: No
Rehabilitation
AM - 8:00 PM
Holland, Brian MD
Lotz, Douglas MD
PCMH: No
Rayes-Prince, Emily MD
Provider ID: 604352
Provider ID: 604245
Gender: Male
Schuschke,
Leslie
MD
Gender: Male
Provider ID: 614368
Ulrf Pediatric Cardiology Family Allergy and
Gender: Female
Provider ID: 633799
2605 Kentucky Ave
Asthma
The Healing Journey PSC
Gender: Female
Paducah, KY 42003
2312 Kentucky Ave
3025 Clay St
Ulrf
Neonatal
Follow-Up
(502) 585-4802
Paducah, KY 42003
Paducah, KY 42001
2605
Kentucky
Ave
Ste
Fax: (502) 589-1256
(270) 442-5151
102
(270) 444-4032
00 Yrs/18 Yrs
Fax: (502) 429-6157
Paducah, KY 42003
Fax: (270) 444-4038
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
(502)
852-7049
00 Yrs/99 Yrs
PCMH: No
Languages: Spanish
Fax:
(502)
852-0135
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Johnson, Stan MD
00
Yrs/21
Yrs
PCMH: No
PCMH: No
Provider ID: 1137647
Norton Hospital
Gender: Male
Matta, Jyothi MD
M-F 8:00 AM - 5:00 PM Rommelman, Monte MD
Addixxion Recovery of
Provider ID: 602336
PCMH: No
Provider ID: 627180
Kentucky LLC
Gender: Female
Gender: Male
Singh,
Tamina
MD
216 Berger Rd
Ulrf Pediatric Cardiology
Paducah Physiatric
Provider ID: 631607
Paducah, KY 42003
2605 Kentucky Ave
Partners
Gender: Female
(270) 441-0025
Paducah, KY 42003
Ulrf Neonatal Follow-Up 150 Village Sq Dr
Fax: (270) 441-9018
(502) 585-4802
Paducah, KY 42001
2605 Kentucky Ave Ste
00 Yrs/99 Yrs
Fax: (502) 589-1256
(270) 415-9575
102
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
Kosair Childrens Medical Paducah, KY 42003
M-F 9:00 AM - 5:00 PM
(502) 852-7049
Center Brownsb
Lau, Kelvin MD
PCMH: No
Fax:
(502)
852-0135
M-F 8:00 AM - 5:00 PM
Provider ID: 1129973
00
Yrs/18
Yrs
PCMH: No
Gender: Male
Kosair Childrens Medical
Ulrf Pediatric Cardiology
Center Brownsb
2605 Kentucky Ave
M-F 8:00 AM - 5:00 PM
Paducah, KY 42003
PCMH: No
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 58
06/01/2016
Specialty Physicians
McCracken
Physical Medicine &
Rehabilitation - cont.
Byrne, Harry MD
Provider ID: 611669
Gender: Male
Rommelman, Monte MD 120 Brett Chase Ste C
Paducah, KY 42003
Provider ID: 627180
(270) 534-1385
Gender: Male
Fax: (270) 534-1382
Paducah Physiatric
00 Yrs/99 Yrs
Partners
1532 Lone Oak Rd Ste 150 M-F 9:00 AM - 5:00 PM
PCMH: No
Paducah, KY 42003
(270) 443-9352
Pulmonary Disease
Fax: (270) 443-9013
Clarke, Jeffrey MD
00 Yrs/99 Yrs
Provider ID: 618645
M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No
Respiratory Disease
Rommelman, Monte MD Clinic
1920 Broadway St
Provider ID: 627180
Paducah, KY 42001
Gender: Male
(270) 442-3647
Paducah Physiatric
Fax: (270) 442-3777
Partners
00 Yrs/99 Yrs
5150 Village Square Dr
Baptist Health Paducah
Paducah, KY 42001
M-F 9:00 AM - 5:00 PM
(270) 415-9575
PCMH: No
Fax: (270) 415-9576
Kelly, Keith MD
00 Yrs/99 Yrs
Provider ID: 618618
M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No
Respiratory Disease
Podiatry
Clinic
1920 Broadway St
Adams, William DPM
Paducah, KY 42001
(270) 442-3647
Provider ID: 716440
Fax: (270) 442-3777
Gender: Male
00 Yrs/99 Yrs
Orthopedic Institute of
Baptist Health Paducah
W Ky
M-F 9:00 AM - 5:00 PM
4787 Alben Barkley Rd
PCMH: No
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Radiation Oncology
Thoracic & Cardiovascular
Surgery
Locken, Peter MD
Johnson, Carl MD
Provider ID: 618588
Provider ID: 601554
Gender: Male
Radiotherapy Associates Gender: Male
PSC
Baptist Health Medical
Group
2501 Kentucky Ave
Western Baptist Hospital 2601 Kentucky Ave Ste
Ro
300
Paducah, KY 42001
Paducah, KY 42003
(270) 575-2781
(270) 443-5564
Fax: (270) 575-2768
Fax: (270) 443-5549
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Baptist Health Paducah
Baptist Health Paducah
Murray Calloway County M-F 9:00 AM - 5:00 PM
Hospital
PCMH: No
M-F 8:30 AM - 4:00 PM
Lee, Robert MD
PCMH: No
Provider ID: 764470
Triplett, Jeffrey MD
Gender: Male
Provider ID: 618694
Mercy Regional Heart
Gender: Male
and Lung Surge
Radiotherapy Associates 1532 Lone Oak Rd Ste
PSC
445
2501 Kentucky Ave
Paducah, KY 42003
Paducah, KY 42003
(270) 538-5830
(270) 575-2781
Fax: (270) 538-5835
Fax: (270) 575-2768
00 Yrs/99 Yrs
18 Yrs/99 Yrs
Vanderbilt Univ Med
Baptist Health Paducah
Center
M-F 8:30 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 59
Lopez, Nicholas MD
Provider ID: 604010
Gender: Male
Wbmv DBA W Kentucky
Heart Chest Su
2601 Kentucky Ave Ste
300
Paducah, KY 42003
(270) 443-5564
Fax: (270) 443-5549
00 Yrs/99 Yrs
Baptist Health Paducah
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
McCracken
Thoracic & Cardiovascular Knox, Michael MD
Surgery - cont.
Provider ID: 712861
Gender: Male
Orourke, James MD
Urology Group of
Paducah PSC
Provider ID: 667186
2603 Kentucky Ave Ste
Gender: Male
102
Mercy Regional Heart
Paducah, KY 42003
and Lung Surge
(270) 442-3539
1532 Lone Oak Rd Ste
Fax: (270) 442-2051
445
00 Yrs/99 Yrs
Paducah, KY 42003
Lourdes Hospital Inc
(270) 583-5830
M-F 8:00 AM - 4:30 PM
Fax: (270) 538-5835
PCMH: No
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM Kupper, Robert MD
PCMH: No
Provider ID: 600731
Urology
Gender: Male
Urology Group of
Ellison, Patrick MD
Paducah PSC
Provider ID: 600964
2603 Kentucky Ave Ste
Gender: Male
102
Urology Group of
Paducah, KY 42003
Paducah PSC
(270) 442-3539
2603 Kentucky Ave Ste
Fax: (270) 442-2051
102
00 Yrs/99 Yrs
Paducah, KY 42003
Baptist Health Paducah
(270) 442-3539
M-F 8:00 AM - 5:00 PM
Fax: (270) 442-2051
PCMH: No
00 Yrs/99 Yrs
Baptist Health Paducah Ransler, Charles MD
M-F 8:00 AM - 4:30 PM
PCMH: No
Provider ID: 601055
Gender: Male
Gehring, G MD
Urology Group of
Provider ID: 603058
Paducah PSC
Gender: Male
2603 Kentucky Ave Ste
Urology Group of
102
Paducah PSC
Paducah, KY 42003
2603 Kentucky Ave Ste
(270) 442-3539
102
Fax: (270) 442-2051
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 442-3539
Baptist Health Paducah
Fax: (270) 442-2051
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
Spicer, Donald MD
Provider ID: 601450
Gender: Male
Urology Group of
Paducah PSC
2603 Kentucky Ave Ste
102
Paducah, KY 42003
(270) 442-3539
Fax: (270) 442-2051
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 4:30 PM
PCMH: No
Young, Matthew MD
Provider ID: 1078843
Gender: Male
Urology Group of
Paducah PSC
2603 Kentucky Ave Ste
102
Paducah, KY 42003
(270) 442-3539
Fax: (270) 442-2051
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Vascular Surgery
Bicking, Griffin DO
Provider ID: 722088
Gender: Male
Baptist Health Medical
Group
2603 Kentucky Ave Ste
105
Paducah, KY 42003
(270) 415-7724
Fax: (270) 415-7727
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 60
Cederstrand, Sara MD
Provider ID: 892499
Gender: Female
Mercy Vascular
Specialists
1532 Lone Oak Rd Ste
405
Paducah, KY 42003
(270) 441-4300
Fax: (270) 441-4925
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Ranval, Timothy MD
Provider ID: 667188
Gender: Male
Mercy Vascular
Specialists
1532 Lone Oak Rd Ste
405
Paducah, KY 42003
(270) 441-4300
Fax: (270) 441-4925
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Sanders, Scott MD
Provider ID: 667413
Gender: Male
Mercy Vascular
Specialists
1532 Lone Oak Rd Ste
405
Paducah, KY 42003
(270) 441-4300
Fax: (270) 441-4925
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Hospitals
Caldwell
Critical Access Hospital
Caldwell Medical Center
Provider ID: 690974
100 Medical Center Dr
Princeton, KY 42445
(270) 365-0300
Fax: (270) 365-6528
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 61
06/01/2016
Hospitals
Calloway
Hospital
Murray Calloway County
Hospital
Provider ID: 356799
803 Poplar St
Murray, KY 42071
(270) 762-1100
Fax: (270) 767-3600
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 62
06/01/2016
Hospitals
Crittenden
Hospital
Crittenden County
Hospital
Provider ID: 508190
520 W Gum St
Marion, KY 42064
(270) 965-5281
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 63
06/01/2016
Hospitals
Graves
Hospital
Jackson Purchase
Medical Center
Provider ID: 171153
1099 Medical Center Cir
Mayfield, KY 42066
(270) 251-4137
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 64
06/01/2016
Hospitals
Livingston
Critical Access Hospital
Livingston Hospital &
Healthca
Provider ID: 170923
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 65
06/01/2016
Hospitals
Marshall
Critical Access Hospital
Marshall County Hospital
Provider ID: 636944
615 Old Symsonia Rd
Benton, KY 42025
(270) 527-4800
Fax: (270) 527-4853
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 66
06/01/2016
Hospitals
McCracken
Hospital
Baptist Health Paducah
Provider ID: 151828
2501 Kentucky Ave
Paducah, KY 42003
(270) 575-2100
Fax: (270) 575-8464
00 Yrs/99 Yrs
Lourdes Hospital Inc
Provider ID: 351
1530 Lone Oak Rd
Paducah, KY 42002
(270) 444-2444
Fax: (270) 444-2980
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 67
06/01/2016
Behavioral Health
Ballard
Behavioral Health
Counseling
Keene, Craig LCSW
Provider ID: 1086583
Gender: Male
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
PCMH: No
Licensed Professional
Counselor
Sloan, Pamela LPC
Provider ID: 1152885
Gender: Female
Pam Sloan Counseling
272 N 7th St
Barlow, KY 42024
(270) 836-9417
Fax: (877) 777-3137
12 Yrs/99 Yrs
MW 8:30 AM - 6:00 PM
T 8:30 AM - 5:00 PM
TH 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 68
06/01/2016
Behavioral Health
Caldwell
Behavioral Health
Counseling
Hopwood, Christy LCSW Ramey, Sonja LCSW
Provider ID: 1106267
Provider ID: 989728
Gender: Female
McCarty, Sylvia LCSW
Gender: Female
Pennyroyal Regional MhProvider ID: 1045113
1350 US Hwy 62 W
Mr Board Inc
Gender: Female
Princeton, KY 42445
1350 US Hwy 62 W.
Pennyroyal Healthcare
(270) 365-2008
Princeton, KY 42445
Services Inc
Fax: (270) 365-2009
(270) 365-2008
310 Hawthorne St
00 Yrs/99 Yrs
Fax: (270) 365-2009
Princeton, KY 42445
M-F 9:00 AM - 5:00 PM
05 Yrs/99 Yrs
(270) 365-0227
PCMH: No
M-F 8:30 AM - 5:00 PM
Fax: (270) 365-2559
PCMH: No
00 Yrs/99 Yrs
Lloyd, Courtney LCSW
M-F 8:30 AM - 5:00 PM
Schmitt, Stefanie LCSW
Provider
ID:
1148893
PCMH: No
Gender: Female
Provider ID: 1022906
Licensed Clinical Social
Pennyroyal Regional Mh- Gender: Female
Worker
Mr Board Inc
Pennyroyal Healthcare
1350
US
Hwy
62
W.
Services Inc
Brook, James LCSW
Princeton,
KY
42445
310 Hawthorne St
Provider ID: 1088071
(270) 365-2008
Princeton, KY 42445
Gender: Male
Fax:
(270)
365-2009
(270) 365-0227
Pennyroyal Regional Mh/
05
Yrs/99
Yrs
Fax: (270) 365-2559
Mr Board Inc
M-F
8:30
AM
5:00
PM
00 Yrs/99 Yrs
1350 US Hwy 62 W.
PCMH: No
M-F 9:00 AM - 5:00 PM
Princeton, KY 42445
PCMH: No
(270) 365-2008
McCarty, Sylvia LCSW
Fax: (270) 365-2009
Schmitt, Stefanie LCSW
18 Yrs/99 Yrs
Provider ID: 1037869
M-F 8:30 AM - 5:00 PM
Gender: Female
Provider ID: 1037938
PCMH: No
Pennyroyal Healthcare
Gender: Female
Services
Inc
Pennyroyal Healthcare
Felts, Pamela LCSW
310
Hawthorne
St
Services Inc
Provider ID: 1083523
Princeton,
KY
42445
310 Hawthorne St
Gender: Female
(270)
365-0227
Princeton, KY 42445
Pennyroyal Regional MhFax: (270) 365-2559
(270) 365-0227
Mr Board Inc
00
Yrs/99
Yrs
Fax: (270) 365-2559
1350 US Hwy 62 W.
M-F
8:30
AM
5:00
PM
00 Yrs/99 Yrs
Princeton, KY 42445
PCMH:
No
M-F 8:30 AM - 5:00 PM
(270) 365-2008
PCMH: No
Fax: (270) 365-2009
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 69
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
1350 US Hwy 62 W
Princeton, KY 42445
(270) 365-2008
Fax: (270) 365-2009
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Williams, Courtney
LCSW
Provider ID: 1086981
Gender: Female
Pennyroyal Regional MhMr Board Inc
1350 US Hwy 62 W.
Princeton, KY 42445
(270) 365-2008
Fax: (270) 365-2009
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Licensed Marriage and
Family Therapist
McMican, William LMFT
Provider ID: 1123405
Gender: Male
Pennyroyal Regional MhMr Board Inc
1350 US Hwy 62 W.
Princeton, KY 42445
(270) 365-2008
Fax: (270) 365-2009
05 Yrs/99 Yrs
M-F 8:30 AM - 8:30 PM
PCMH: No
06/01/2016
Behavioral Health
Caldwell
Licensed Professional
Counselor
Walker, Haley LPC
Provider ID: 1125134
Gender: Female
Boyd, Zane LPC
Pennyroyal Regional MhProvider ID: 1125130
Mr Board Inc
Gender: Male
1350 US Hwy 62 W.
Pennyroyal Regional Mh- Princeton, KY 42445
Mr Board Inc
(270) 365-2008
1350 US Hwy 62 W.
Fax: (270) 365-2009
Princeton, KY 42445
18 Yrs/99 Yrs
(270) 365-2008
M-F 8:30 AM - 5:00 PM
Fax: (270) 365-2009
PCMH: No
00 Yrs/99 Yrs
Psychology
M-F 8:30 AM - 5:00 PM
PCMH: No
Taylor, Alicia PsyD
Helton, Amanda LPC
Provider ID: 1021483
Gender: Female
Provider ID: 1018707
Pennyroyal Healthcare
Gender: Female
Services
Pennyroyal Healthcare
310 Hawthorne St
Services
Princeton, KY 42445
310 Hawthorne St
(270) 365-0227
Princeton, KY 42445
Fax: (270) 365-2559
(270) 365-0227
00 Yrs/99 Yrs
Fax: (270) 365-2559
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 9:00 AM - 5:00 PM
Taylor, Alicia PsyD
PCMH: No
Provider ID: 1037946
Morse, Rebecca LPC
Gender: Female
Provider ID: 1168129
Pennyroyal Healthcare
Gender: Female
Services Inc
Pennyroyal Regional Mh- 310 Hawthorne St
Mr Board Inc
Princeton, KY 42445
1350 US Hwy 62 W.
(270) 365-0227
Princeton, KY 42445
Fax: (270) 365-2559
(270) 365-2008
00 Yrs/99 Yrs
Fax: (270) 365-2009
M-F 8:30 AM - 5:00 PM
05 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 70
06/01/2016
Behavioral Health
Calloway
Community Mental
Health Center
Four Rivers Behavioral
Health
Provider ID: 607223
Lakes Center
1051 N 16th St
Murray, KY 42071
(270) 753-6622
Fax: (270) 753-9669
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Psychiatry
Sallee, John MD
Provider ID: 633725
Gender: Male
Murray Calloway County
Public Hospital
719 Elm St
Murray, KY 42071
(270) 761-0043
Fax: (270) 752-2853
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Psychology
King, Lisa PsyD
Provider ID: 1110959
Gender: Female
King Psychological
Services PLLC
615 S 12th St Stes F and G
Murray, KY 42071
(859) 559-7624
Fax: (866) 861-3299
00 Yrs/99 Yrs
M-W 8:30 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 71
06/01/2016
Behavioral Health
Carlisle
Behavioral Health
Counseling
Keene, Craig LCSW
Provider ID: 1086583
Gender: Male
Arcare
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 72
06/01/2016
Behavioral Health
Graves
Behavioral Health
Counseling
Licensed Clinical Social
Worker
Carter, James LCSW
Provider ID: 1043820
Gender: Male
1391 Rohrer Rd
Mayfield, KY 42066
(270) 705-8715
Fax: (270) 623-6673
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 1043820
Gender: Male
1391 Rohrer Rd
Mayfield, KY 42066
(270) 705-8715
Fax: (270) 623-6673
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Community Mental
Health Center
Carter, James LCSW
Provider ID: 978096
Gender: Male
Merit Behavioral
Associates
224 N 7th St
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Four Rivers Behavioral
Health
Provider ID: 607223
Center For Community
Supports
1525 Cuba Rd
Mayfield, KY 42066
(270) 247-2588
Fax: (270) 247-0142
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Kyle, Mary LCSW
Provider ID: 604246
Gender: Female
Four Rivers Behavioral
Merit Behavioral
Health
Associates
Provider ID: 607223
229 W Walnut St
Illness Management and Mayfield, KY 42066
Recovery - I
(270) 251-3666
331 N 7th St
Fax: (270) 251-3506
Mayfield, KY 42066
09 Yrs/99 Yrs
(270) 251-2943
MTHF 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
TW 9:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Peek-Fisk, Rolanda LCSW Smith, Mina LCSW
Provider ID: 671082
Provider ID: 671239
Gender: Female
Gender: Female
Merit Behavioral
Merit Behavioral
Associates
Associates
229 W Walnut
224 N 7th St
Mayfield, KY 42066
Mayfield, KY 42066
(270) 251-3666
(270) 251-3666
Fax: (270) 251-3506
Fax: (270) 251-3506
07 Yrs/99 Yrs
00 Yrs/99 Yrs
MT 8:00 AM - 3:00 PM
M-F 8:00 AM - 5:00 PM
W 10:00 AM - 6:00 PM
PCMH: No
TH 8:00 AM - 4:00 PM
F 9:00 AM - 5:00 PM
Peek-Fisk, Rolanda LCSW PCMH: No
Provider ID: 671239
Gender: Female
Williams, Joseph LCSW
Merit Behavioral
Associates
Provider ID: 751409
229 W Walnut
Gender: Male
Mayfield, KY 42066
Joseph A Williams
(270) 251-3666
209 E Sunset Dr
Fax: (270) 251-3506
Mayfield, KY 42066
00 Yrs/99 Yrs
(270) 247-5667
MTWTHFSat 8:00 AM Fax: (270) 247-3999
5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Shanahan, Tammy LCSW PCMH: No
Provider ID: 671092
Gender: Female
Merit Behavioral
Associates
229 W Walnut
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
06 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 73
Licensed Professional
Counselor
Barrix, Donna LPC
Provider ID: 957923
Gender: Female
West Ky Counseling
Center
120 W Walnut St
Mayfield, KY 42066
(270) 251-3260
Fax: (270) 247-8600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Graves
Licensed Professional
Counselor - cont.
Harris, Christy LPC
Provider ID: 1169799
Gender: Female
Christy Harris
120 Walnut St
Mayfield, KY 42066
(270) 251-3260
Fax: (270) 251-3260
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Watkins, Kimberly LPC
Provider ID: 1113285
Gender: Female
Merit Behavioral
Associates
224 N 7th St
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 74
06/01/2016
Behavioral Health
McCracken
Behavioral Health
Counseling
Community Mental
Health Center
Child Watch Counseling
and Advocacy
Provider ID: 1034690
1118 Jefferson St
Paducah, KY 42001
(270) 443-1440
Fax: (270) 443-1486
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Four Rivers Behavioral
Health
Provider ID: 607223
Center For Integrated
Support
425 Broadway St
Paducah, KY 42001
(270) 442-5088
Fax: (270) 442-3268
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Keene, Craig LCSW
Provider ID: 1086583
Gender: Male
Arcare
1901 Ky Ave
Paducah, KY 42003
(270) 575-3247
Fax: (270) 408-1584
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Keene, Craig LCSW
Provider ID: 1086583
Gender: Male
Arcare
3240 Irvin Cobb DR
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Davis, Mary LCSW
Provider ID: 1020138
Gender: Female
Mary Ann Davis LCSW
234 Berger Rd
Paducah, KY 42003
(270) 994-2387
Fax: (618) 234-0220
00 Yrs/99 Yrs
MW 8:30 AM - 5:30 PM
TTH 8:30 AM - 6:30 PM
F 8:30 AM - 5:00 PM
PCMH: No
Hopwood, Christy LCSW
Provider ID: 972446
Gender: Female
Christy N Hopwood
2850 Adams St Ste 12
Paducah, KY 42001
(270) 564-6887
Fax: (270) 534-0232
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hopwood, Christy LCSW
Davis, Mary LCSW
Provider ID: 976929
Provider ID: 1033029
Four Rivers Behavioral
Gender: Female
Gender:
Female
Health
3025 Clay St
234 Berger Rd
Provider ID: 607223
Paducah, KY 42001
Illness Management and Paducah, KY 42003
(270) 443-1317
(270) 994-2387
Recovery - I
Fax: (270) 443-1369
Fax:
(618)
234-0220
304 S 17th St
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Paducah, KY 42003
M-F 9:00 AM - 5:00 PM
MW 8:30 AM - 5:30 PM
(270) 443-2049
PCMH: No
TTH 8:30 AM - 6:30 PM
Fax: (270) 443-2716
F
8:30
AM
5:00
PM
00 Yrs/99 Yrs
Kyle, Mary LCSW
PCMH: No
M-F 8:00 AM - 5:00 PM
Provider ID: 604246
PCMH: No
Giltner, Kimberlee LCSW Gender: Female
Merit Behavioral
Provider ID: 1124903
Licensed Clinical Social
Associates
Gender:
Female
Worker
100 Fountain Ave Ste 205
Kimberlee D. Giltner,
Paducah, KY 42001
Carter, James LCSW
LCSW
(270) 251-3666
234 Berger Rd
Fax: (270) 251-3506
Provider ID: 976951
Paducah, KY 42003
09 Yrs/99 Yrs
Gender: Male
(270) 933-1991
M-F 9:00 AM - 5:00 PM
3025 Clay St
Fax: (270) 933-1991
PCMH: No
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 443-1317
M-F 8:00 AM - 5:00 PM
Fax: (270) 443-1369
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 75
06/01/2016
Behavioral Health
McCracken
Licensed Clinical Social
Worker - cont.
Licensed Marriage and
Family Therapist
Reside, Cecelia LCSW
Provider ID: 1158074
Gender: Female
Child Watch Counseling
and Advocacy
1118 Jefferson St
Paducah, KY 42001
(270) 443-1440
Fax: (270) 443-1486
00 Yrs/99 Yrs
M 8:00 AM - 6:30 PM
T 8:00 AM - 6:00 PM
WTHF 8:00 AM - 4:30
PM
PCMH: No
Darling, Sara LMFT
Provider ID: 1116141
Gender: Female
Sara Siner Darling PLLC
4630 Village Square Dr
Ste 202
Paducah, KY 42001
(270) 777-4490
Fax: (866) 824-4022
00 Yrs/99 Yrs
M-TH 10:00 AM - 5:00
PM
PCMH: No
Crisp, Hollie LPC
Provider ID: 1174135
Gender: Male
Necco Inc - Paducah
125 Eagle Nest Dr
Paducah, KY 42003
(270) 898-1293
Fax: (270) 898-1187
00 Yrs/18 Yrs
M-F 8:00 AM - 8:00 PM
PCMH: No
Rasnake, Robert LPC
Provider ID: 1092276
Gender: Male
Necco Inc
125 Eagle Nest DR
Paducah, KY 42003
(270) 898-1293
Fax: (270) 898-1187
00 Yrs/18 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
Englert, Kathryn LPC
Richardson, Sarah LPC
Provider ID: 988561
Provider ID: 1172357
Gender: Female
Compass Counseling LLC Gender: Female
Community Living In
4630 Village Square Dr
Kentucky
Ste 202
3351 Park Plaza Rd
Paducah, KY 42001
Paducah, KY 42001
(270) 777-4490
(270) 843-5300
Fax: (866) 824-4022
Fax: (270) 843-5383
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MT 9:00 AM - 7:00 PM
WTH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Darling, Sara LMFT
Provider ID: 1129928
Smith, Mina LCSW
Gender: Female
Provider ID: 671082
Sara Siner Darling PLLC
Gender: Female
4630 Village Square Dr
Ste 202
Merit Behavioral
Associates
Paducah, KY 42001
100 Fountain Ave Ste 205 (270) 777-4490
Paducah, KY 42001
Fax: (866) 824-4022
(270) 251-3666
00 Yrs/99 Yrs
Evans, Kerry LPC
Fax: (270) 251-3506
MW 10:00 AM - 5:00 PM Provider ID: 1088249
07 Yrs/99 Yrs
TTH 10:00 AM - 5:30 PM
Gender: Female
MTWTHFSat 8:00 AM PCMH: No
Necco Inc
5:00 PM
125 Eagle Nest DR
Licensed Professional
PCMH: No
Paducah, KY 42003
Counselor
(270) 898-1293
Wenzsherrill, Kimberly
Fax: (270) 898-1187
Birch,
Corey
LPC
LCSW
00 Yrs/18 Yrs
Provider ID: 1161572
Provider ID: 976944
MTWTHFSatSun 8:00
Gender: Male
Gender: Female
AM - 8:00 PM
Necco
Inc
Paducah
3025 Clay St
PCMH: No
125
Eagle
Nest
DR
Paducah, KY 42001
Paducah, KY 52003
(270) 443-1317
(270) 898-1293
Fax: (270) 443-1369
Fax: (270) 898-1187
00 Yrs/18 Yrs
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 76
Richardson, Whitney LPC
Provider ID: 1092274
Gender: Female
Necco Inc
125 Eagle Nest DR
Paducah, KY 42003
(270) 898-1293
Fax: (270) 898-1187
00 Yrs/18 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
06/01/2016
Behavioral Health
McCracken
Pediatrics Behavioral and Ballew, Laurie DO
Brame, Emily PsyD
Developmental
Provider ID: 631783
Provider ID: 1150196
Gender: Female
Gender: Female
Mendoza, Maria MD
Mercy Behavioral Health Mercy Primary Care Provider ID: 1074150
Specialists
Paducah
Gender: Female
1528 Lone Oak Rd
1532 Lone Oak Rd Ste 150
Ulrf Neonatal Follow Up Paducah, KY 42003
Paducah, KY 42003
2605 Kentucky Ave Ste
(270) 444-2250
(270) 538-5596
102
Fax: (270) 538-6596
Fax: (270) 538-5597
Paducah, KY 42003
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(502) 852-7049
Lourdes Hospital Inc
M-F 8:00 AM - 5:00 PM
Fax: (502) 852-0135
M-F 8:00 AM - 4:00 PM
PCMH: Yes, Level 3
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Schumacher, Elizabeth
PHD
PCMH: No
Yoder, Suzanne MD
Provider ID: 1066059
Provider ID: 1130021
Psychiatry
Gender: Female
Gender: Female
Ulrf Neonatal Follow Up
Mercy
Behavioral
Health
Aaron, Ronee DO
Specialists
2605 Kentucky Ave Ste
Provider ID: 669097
102
1532 Lone Oak Rd Ste
Gender: Male
345
Paducah, KY 42003
Lps W Ky Psych
Paducah,
KY
42003
(502) 852-7049
Associates
(270)
444-2250
Fax: (502) 852-0135
1528 Lone Oak Rd
Fax:
(270)
538-6596
00 Yrs/99 Yrs
Paducah, KY 42003
00 Yrs/99 Yrs
Kosair Childrens Medical
(270) 444-2250
Center Brownsb
M-F
8:00
AM
4:00
PM
Fax: (270) 538-5597
M-F 8:00 AM - 5:00 PM
PCMH:
No
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Psychology
PCMH: No
Brame, Emily PsyD
Adams, Christopher MD Provider ID: 1150196
Gender: Female
Provider ID: 667446
Mercy Pediatrics
Gender: Male
548 Lone Oak Rd
Mercy Behavioral Health Paducah, KY 42003
Specialists
(270) 442-6161
1530 Lone Oak Rd
Fax: (270) 442-9594
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 444-2845
M-F 8:00 AM - 5:00 PM
Fax: (270) 444-2481
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 77
06/01/2016
Ancillary Providers
All
Laboratory Pathology
Testing
Labcorp
For Additional Providers
and Locations Please
Call:
(888) 522-2677
Quest Diagnostics
For Additional Providers
and Locations Please
Call:
(866) 697-8378
www.wellcare.com/Kentucky | 78
06/01/2016
Ancillary Providers
Ballard
Community Health
Center
Ballard County Health
Center
Provider ID: 1209504
198 Bluegrass Dr
LA Center, KY 42056
(270) 665-5432
Fax: (270) 665-9166
00 Yrs/99 Yrs
MWF 8:00 AM - 4:00 PM
TTH 7:30 AM - 4:30 PM
www.wellcare.com/Kentucky | 79
06/01/2016
Ancillary Providers
Caldwell
Durable Medical
Equipment
Corner Homecare
Provider ID: 716182
Corner Homecare
Princeton
108 E Washington St
Princeton, KY 42445
(270) 365-3903
Fax: (270) 365-0835
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Epsdt Special Services
Caldwell Medical Center
Provider ID: 690974
100 Medical Center Dr
Princeton, KY 42445
(270) 365-0300
Fax: (270) 365-6528
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Corner Homecare
Provider ID: 716182
Corner Homecare
Princeton
108 E Washington St
Princeton, KY 42445
(270) 365-3903
Fax: (270) 365-0835
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Federally Qualified
Health Center
Pennyroyal Healthcare
Services Inc
Provider ID: 699618
310 Hawthorne St
Princeton, KY 42445
(270) 365-0227
Fax: (270) 365-2559
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 80
06/01/2016
Ancillary Providers
Calloway
Durable Medical
Equipment
Legacy Oxygen and
Home Care Equipme
Provider ID: 751425
924 S 12th St
Murray, KY 42071
(270) 753-2001
Fax: (270) 753-2002
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Medical Arts Home
Medical
Provider ID: 627031
300 S 8th St Ste 104E
Murray, KY 42071
(270) 762-2011
Fax: (270) 753-1844
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pharmacy Inc
Provider ID: 635637
82 Spruce St
Murray, KY 42071
(270) 762-0602
Fax: (270) 759-3614
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pharmacy Inc
Provider ID:
TPVV13680GK-01
82 Spruce St
Murray, KY 42071
(270) 762-0602
Fax: (270) 759-3614
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Family Planning
Hospice
Calloway County Health Murray Calloway Co
Dept
Hospital Hospice
Provider ID: 644832
Provider ID: 780451
602 Memory Ln
803 Poplar St
Murray, KY 42071
Murray, KY 42071
(270) 753-3381
(270) 762-1281
Fax: (270) 753-8455
Fax: (270) 767-3657
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 7:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
F 7:30 AM - 4:30 PM
Home Health Care
Home Health Plus Inc
Provider ID: 790551
1900 G N 12th St Ste G
Murray, KY 42071
(270) 753-5656
Fax: (270) 753-4181
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Intrepid USA Healthcare
Services
Provider ID: 648334
Fc of Kentucky, Inc
1616 Hwy 121 North Ste C
Murray, KY 42071
(270) 753-1434
Fax: (270) 759-9166
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Murray Calloway County
Hospital HHC
Provider ID: 708495
803 Poplar St
Murray, KY 42071
(270) 762-1100
Fax: (270) 767-3657
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 81
06/01/2016
Ancillary Providers
Crittenden
Community Health
Center
Durable Medical
Equipment
Crit Co Elementary Star Glenns Apothecary
Clinic
Provider ID: 645126
Provider ID: 779118
120 Autumn Ln
520 W Gum St
Marion, KY 42064
Marion, KY 42064
(270) 247-3553
(270) 965-4101
Fax: (270) 247-0391
Fax: (270) 965-9957
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM M-F 8:30 AM - 5:30 PM
F 8:00 AM - 11:30 PM
Sat 8:30 AM - 1:30 PM
Thrifty Home Medical
Provider ID: 620790
210 S Main
Marion, KY 42064
(270) 965-0089
Fax: (270) 965-0810
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Crittenden Co Health
Center
Provider ID: 645764
Holland Medical Services 190 Industrial DR
Marion, KY 42064
Provider ID: 601511
(270) 965-5215
252 Sturgis Rd
Fax: (270) 965-9078
Marion, KY 42064
00 Yrs/99 Yrs
(270) 965-5808
M-TH 8:00 AM - 5:00 PM
Fax: (270) 965-5809
F 8:00 AM - 11:30 PM
00 Yrs/99 Yrs
Rural Health Center
M-F 8:30 AM - 5:00 PM
Crittenden Co Middle
High-Rocket
Provider ID: 645222
Crittenden Co Rocket
High
519 W Gum St
Marion, KY 42064
(270) 965-5215
Fax: (270) 965-9078
00 Yrs/99 Yrs
Practice Clinic
M-TH 8:00 AM - 5:00 PM Holland Medical Services Family
PSC
F 8:00 AM - 11:30 PM
Provider ID: 648282
Provider ID: 601511
518 W Gum St
Crittenden Co Rocket
707 S Main St
Marion, KY 42064
Middle
Marion, KY 42064
(270) 965-5238
Provider ID: 644856
(270) 965-5808
Fax: (270) 965-9015
519 1/2 W Gum St
Fax: (270) 965-5809
00 Yrs/99 Yrs
Marion, KY 42064
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 965-5215
M-F 8:30 AM - 5:00 PM
Fax: (270) 965-9078
Holland Medical Services Marion Physicians Clinic
00 Yrs/99 Yrs
Provider ID: 633727
M-TH 8:00 AM - 5:00 PM
308 S Main St
Provider ID: 787775
F 8:00 AM - 11:30 PM
Marion, KY 42064
252 Sturgis Rd
(270) 965-4377
Marion, KY 42064
Fax: (270) 965-9569
(270) 965-5808
00 Yrs/99 Yrs
Fax: (270) 965-5809
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
www.wellcare.com/Kentucky | 82
06/01/2016
Ancillary Providers
Fulton
Durable Medical
Equipment
Evans Total Care LLC
Provider ID: 602668
208 Lake St
Fulton, KY 42041
(270) 472-2984
Fax: (270) 472-9377
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Home Health Care
Lifeline Home Health
Care of Fulton
Provider ID: 657384
424 Lake St
Fulton, KY 42041
(270) 472-2294
Fax: (270) 472-2312
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Regional Home Care
Pkwy
Provider ID: 611937
Fulton Home Care
Parkway
1000 Elm St
Fulton, KY 42041
(270) 472-0070
Fax: (270) 472-0894
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 83
06/01/2016
Ancillary Providers
Graves
Durable Medical
Equipment
Duncan Prescription
Center
Provider ID: 643039
Sew Enterprises Inc
315 W Broadway
Mayfield, KY 42066
(270) 247-3345
Fax: (270) 247-1344
00 Yrs/99 Yrs
M-F 7:30 AM - 5:15 PM
Sat 7:30 AM - 2:00 PM
Gibsons Pharmacy
Homecare
Provider ID: 640956
Gibsons Pharmacy
715 E Broadway
Mayfield, KY 42066
(270) 247-7300
Fax: (270) 247-6945
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Home Health Care
Intrepid USA Healthcare
Services
Provider ID: 648334
Fc of Kentucky, Inc
1025 Paducah Rd
Mayfield, KY 42066
(270) 251-2001
Fax: (270) 251-0972
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rural Health Center
Mayfield Family
Medicine
Provider ID: 1196628
1111 Medical Center Circle
Mayfield, KY 42066
(270) 251-4055
Fax: (270) 251-4059
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stones Drug Store
Provider ID: 655086
414 S 9th St
Mayfield, KY 42066
(270) 247-3232
Fax: (270) 247-4285
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Graves County Health
Center
Provider ID: 645362
416 Central Ave
Mayfield, KY 42066
(270) 247-3553
Fax: (270) 247-0391
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
www.wellcare.com/Kentucky | 84
06/01/2016
Ancillary Providers
Hickman
Family Planning
Hickman Co Health
Center
Provider ID: 645151
370 S Washington St
Clinton, KY 42031
(270) 653-6110
Fax: (270) 653-6523
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
www.wellcare.com/Kentucky | 85
06/01/2016
Ancillary Providers
Livingston
Durable Medical
Equipment
Clinic Pharmacy of Ky
Provider ID: 759920
141 Hospital Dr
Salem, KY 42078
(270) 988-3230
Fax: (270) 988-4230
00 Yrs/99 Yrs
M-F 8:30 AM - 5:30 PM
Sat 8:30 AM - 12:30 PM
Glenns Prescription
Center
Provider ID: 760051
119 E Main St
Salem, KY 42078
(270) 988-3226
Fax: (270) 988-4357
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:30 AM - 1:30 PM
Rural Health Center
Burkhart Rural Health
Clinic
Provider ID: 634216
117 E Main St
Salem, KY 42078
(270) 988-3839
Fax: (270) 988-3832
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grand Lakes Clinic
Provider ID: 684093
1860 Jh Obryan Ave
Grand Rivers, KY 42045
(270) 362-8246
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Smithland Pharmacy Inc
Provider ID: 656131
203 E Adair St
Smithland, KY 42081
(270) 928-2161
Fax: (270) 928-2293
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Family Planning
Livingston Co Health
Center
Provider ID: 644930
124 State St
Smithland, KY 42081
(270) 928-2193
Fax: (270) 928-2098
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 11:30 PM
www.wellcare.com/Kentucky | 86
06/01/2016
Ancillary Providers
Lyon
Durable Medical
Equipment
McConnell Drug Inc
Provider ID: 648228
86 Cedar St
Kuttawa, KY 42055
(270) 388-7371
Fax: (270) 388-5675
00 Yrs/99 Yrs
MF 9:00 AM - 6:00 PM
TWTH 9:00 AM - 5:00
PM
Family Planning
Lyon Co Health Center
Provider ID: 645113
211 W Fairview Ave
Eddyville, KY 42038
(270) 388-9763
Fax: (270) 388-5941
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 11:30 PM
www.wellcare.com/Kentucky | 87
06/01/2016
Ancillary Providers
Marshall
Durable Medical
Equipment
At Home Medical
Provider ID: 1067692
837 US Hwy 68 W
Benton, KY 42025
(270) 252-0897
Fax: (270) 252-0899
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
At Home Medical
Provider ID: 613605
Mis-State Investments
LLC At Home M
837 US Hwy 68 W Ste A
Benton, KY 42025
(270) 252-0897
Fax: (270) 252-0899
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Western Kentucky Home
Medical Equipment
Provider ID: 628211
Western Kentucky
Home Medical Equip
2602 Main St
Benton, KY 42025
(270) 527-1522
Fax: (270) 527-1522
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Family Planning
Marshall County Health
Dept
Provider ID: 644886
267 Slickback Rd
Benton, KY 42025
(270) 527-1496
Fax: (270) 527-5321
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
www.wellcare.com/Kentucky | 88
06/01/2016
Ancillary Providers
McCracken
Ambulatory Surgery
Center
Ambulatory Surgery
Center - Paducah
Provider ID: 618654
Ambulatory Surgery
Center-Paducah
2831 Lone Oak Rd
Paducah, KY 42003
(270) 554-8373
Fax: (270) 554-0493
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Eye Surgery Center of
Paducah
Provider ID: 1063651
100 Medical Center Dr
Paducah, KY 42003
(270) 442-1024
Fax: (270) 442-1001
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clinic
Kentuckycare 43
Provider ID: 976049
1901 Kentucky Ave
Paducah, KY 42003
(270) 575-3247
Fax: (270) 408-1584
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Purchase Area Sexual
Assault and Child A
Provider ID: 1062595
1605 N Friendship Rd
Paducah, KY 42001
(270) 534-4422
Fax: (270) 534-4409
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Community Health
Center
Davis Drugs-DME
Provider ID: 600888
Davis Drugs DME
250 Lone Oak Rd
Paducah, KY 42001
(270) 443-1442
Fax: (270) 444-0610
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Paducah Middle School
Clinic
Provider ID: 896741
342 Lone Oak Rd
Paducah, KY 42001
(270) 444-9631
Fax: (270) 442-8769
00 Yrs/99 Yrs
Hanger Prosthetics &
M-TH 7:30 AM - 5:00 PM Orthotics Inc
F 7:30 AM - 4:30 PM
Provider ID: 657473
4655 Alben Barkley Dr
Dialysis
Paducah, KY 42001
(270) 554-0100
RCG Paducah South
Fax: (270) 554-5588
Provider ID: 635062
00 Yrs/99 Yrs
NNA of Paducah
MTWTHFSat 8:00 AM 1061 Husbands Rd
5:00 PM
Paducah, KY 42003
(270) 442-5020
Legacy Oxygen Home
Fax: (270) 442-1973
Care Equipment
00 Yrs/99 Yrs
Provider ID: 602640
MWF 5:45 AM - 4:30 PM 126 Lone Oak Rd
TTHSat 5:45 AM - 2:00
Paducah, KY 42001
PM
(270) 442-7887
Fax: (270) 442-7897
Durable Medical
00 Yrs/99 Yrs
Equipment
M-F 9:00 AM - 5:00 PM
Aerocare
Lincare Inc
Provider ID: 915989
Provider ID: 918563
125 S 20th St Ste 2
326 Harrison St Ste 328
Paducah, KY 42001
Paducah, KY 42001
(270) 205-4414
(270) 443-0957
Fax: (270) 415-0569
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 3:00 PM
Lincare-Paducah
Corner Homecare
Provider ID: 638522
Provider ID: 716182
326 Harrison St
Corner Homecare
Paducah, KY 42001
Paducah
(270) 443-0957
546 Lone Oak Rd
Fax: (270) 443-6044
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 443-3311
M-F 8:00 AM - 5:00 PM
Fax: (270) 442-7710
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
www.wellcare.com/Kentucky | 89
Marilyns Medical
Freedom Inc
Provider ID: 622910
4860 Old Mayfield Rd
Paducah, KY 42003
(270) 534-9713
Fax: (270) 554-4643
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Medcare Home Medical
Provider ID: 615339
Medcare Medical Supply
2800 Clark St Ste C
Paducah, KY 42001
(270) 448-2273
Fax: (270) 448-2274
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Medcare Medical Supply
Provider ID:
TPVV2404B-01
2800 Clark St Ste C
Paducah, KY 42001
(270) 448-2273
Fax: (270) 448-2274
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Not Alone Fitting
Boutique
Provider ID: 927147
180 Tyree Rd
Paducah, KY 42003
(270) 898-1819
Fax: (270) 898-2442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Orr Medical LLC
Provider ID: 601280
3434 Lovelaceville Rd
Paducah, KY 42001
(270) 554-7311
Fax: (270) 554-7084
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
06/01/2016
Ancillary Providers
McCracken
Durable Medical
Equipment - cont.
Paducah Prosthetics
Provider ID: 1066680
2232 Broadway
Paducah, KY 42001
(270) 575-3223
Fax: (270) 575-9735
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Easter Seals West
Kentucky
Provider ID: 616242
801 N 29th St
Paducah, KY 42001
(270) 444-9687
Fax: (270) 444-8105
00 Yrs/21 Yrs
M-F 7:00 AM - 5:30 PM
Legacy Oxygen Home
Care Equipment
Pennyrile Home Medical Provider ID: 602640
Provider ID:
126 Lone Oak Rd
TPVV0520F-01
Paducah, KY 42001
2975 Lone Oak Rd
(270) 442-7887
Paducah, KY 42003
Fax: (270) 442-7897
(270) 554-0830
00 Yrs/99 Yrs
Fax: (270) 554-0832
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
www.vgmhomelink.com Pennyrile Home Medical
Paducah
M-F 7:00 AM - 7:00 PM
Provider ID: 600869
Ricks Pharmacy Inc
Pennyrile Home Medical
Provider ID: 617994
2975 Lone Oak Rd
3001 Schneidman Rd
Paducah, KY 42003
Paducah, KY 42003
(270) 554-0830
(270) 443-7200
Fax: (270) 554-0832
Fax: (270) 443-8537
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 6:00 PM
Pennyrile Home Medical
Sat 9:00 AM - 3:00 PM
Paducah
Epsdt Special Services
Provider ID: 600869
Pennyrile Home Medical
Corner Homecare
3551 Park Ave Ste B
Provider ID: 716182
Paducah, KY 42001
Corner Homecare
(270) 575-0550
Paducah
00 Yrs/99 Yrs
546 Lone Oak Rd
M-F 9:00 AM - 5:00 PM
Paducah, KY 42003
(270) 443-3311
Fax: (270) 442-7710
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Home Health Care
Orthotics & Prosthetics
Lourdes Home Care
Provider ID: 638436
911 Joe Clifton Dr
Paducah, KY 42001
(270) 444-2444
Fax: (270) 444-2980
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Center For Orthotic
Prosthetic Care
Provider ID:
TPVE28200S-01
4975 Alben Barkely Dr
Ste 2
Paducah, KY 42001
(270) 558-4704
Fax: (270) 558-4719
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Hospice
Lourdes Hospice
Provider ID: 638441
911 Joe Clifton Dr
Paducah, KY 42001
(270) 415-3636
Fax: (270) 444-2379
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Infusion Therapy
Option Care
Provider ID: 671914
3487 Park Ave
Paducah, KY 42001
(800) 511-0063
Fax: (270) 415-9433
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Occupational Therapy
Easter Seals West
Kentucky
Provider ID: 616242
801 N 29th St
Paducah, KY 42001
(270) 444-9687
Fax: (270) 444-8105
00 Yrs/21 Yrs
M-F 7:00 AM - 5:30 PM
www.wellcare.com/Kentucky | 90
Hanger Clinic
Provider ID: 134894
4655 Alben Barkley Dr
Paducah, KY 42001
(270) 554-0100
Fax: (270) 554-5588
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Medcare Home Medical
Provider ID: 615339
Medcare Medical Supply
2800 Clark St Ste C
Paducah, KY 42001
(270) 448-2273
Fax: (270) 448-2274
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pediatric Dentistry
Colgan, John DMD
Provider ID: TPV8691-02
Gender: Male
2850 Lone Oak Rd Ste 1
Paducah, KY 42003
(270) 554-3131
Fax: (270) 554-0124
01 Yrs/99 Yrs
[email protected]
M-F 7:30 AM - 5:00 PM
06/01/2016
Ancillary Providers
McCracken
Pediatric Dentistry - cont.
Largent, Beverly DMD
Provider ID: TPV3539-01
Gender: Female
3008 Oregon St
Paducah, KY 42001
(270) 554-5437
Fax: (270) 554-5236
01 Yrs/18 Yrs
[email protected]
Languages: Spanish
M-TH 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 91
06/01/2016
Allied Providers
Ballard
Family Practice
Whitehead, Jaime APRN
Briscoe, Katina APRN
Provider ID: 1139547
Gender: Female
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1139613
Gender: Female
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jackson, Darrye APRN
Provider ID: 1139560
Gender: Female
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jones, Emily APRN
Provider ID: 1139569
Gender: Female
Arcare
120 N 4th St
Barlow, KY 42024
(270) 334-3131
Fax: (270) 334-3173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Holt, Paul APRN
Provider ID: 627423
Gender: Male
Dr Butler Associates
PLLC
134 Phillips Dr
Wickliffe, KY 42087
(270) 335-3335
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physician Assistant
Bailey, Tiffany PA
Provider ID: 627655
Gender: Female
Dr Butler Associates
PLLC
134 Phillips Dr
Wickliffe, KY 42087
Kingston, Gregory APRN (270) 335-3335
Fax: (270) 443-7122
00 Yrs/99 Yrs
Provider ID: 1139570
M-F 9:00 AM - 5:00 PM
Gender: Male
Arcare
Ward, Jeffrey PA
120 N 4th St
Provider ID: 669039
Barlow, KY 42024
Gender: Male
(270) 334-3131
Dr Butler & Associates
Fax: (270) 334-3173
134 Phillips Dr
00 Yrs/99 Yrs
Wickliffe, KY 42087
M-F 8:00 AM - 5:00 PM
(270) 335-3335
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 92
06/01/2016
Allied Providers
Caldwell
Nurse Practitioner
Jones, Beverly APRN
Stallins, Martiza APRN
Provider ID: 666969
Provider ID: 695966
Dutton, Deborah APRN
Gender: Female
Gender: Female
Provider ID: 1150903
Family Practice Care LLC Perry Family Medical
Gender: Female
PLLC
700 Cassidy Ave
Perry Family Medical
605 S Jefferson St
Fredonia, KY 42411
PLLC
Princeton, KY 42445
(270) 545-3386
605 S Jefferson St
(270) 365-9455
Fax: (270) 545-3712
Princeton, KY 42445
Fax: (270) 365-9456
00 Yrs/99 Yrs
(270) 365-9455
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 365-9456
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Moody, Chelcia APRN
Whitehair, Robyn APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1119990
Provider ID: 671458
Gender: Female
Floyd, Kimberly ARNP
Gender: Female
Pennyroyal Healthcare
Provider ID: 1104579
Services Inc
St Marys Physician
Gender: Female
Network
310 Hawthorne St
St Marys Medical Group Princeton, KY 42445
323 S Jefferson St Ste D
LLC
Princeton, KY 42445
(270) 365-0227
323 S Jefferson St Ste D
(270) 365-4505
Fax: (270) 365-2559
Princeton, KY 42445
Fax: (270) 365-0321
00 Yrs/99 Yrs
(270) 365-4505
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Fax: (812) 491-6491
Baptist Health
00 Yrs/99 Yrs
Naghtin, Ellery APRN
Madisonville
M-F 8:00 AM - 5:00 PM
Provider ID: 1119993
M-F 8:00 AM - 5:00 PM
Gender: Female
Geiger, Elizabeth APRN
Wood, Wyetha APRN
Pennyroyal Healthcare
Services Inc
Provider ID: 1145128
Provider ID: 618314
310 Hawthorne St
Gender: Female
Gender: Female
Princeton, KY 42445
Pennyroyal Healthcare
Primaricare PLLC
(270) 365-0227
Services, Inc
1011 W Main St Ste B
Fax: (270) 365-2559
310 Hawthorne St
Princeton, KY 42445
00 Yrs/99 Yrs
Princeton, KY 42445
(270) 365-0227
M-F 8:30 AM - 5:00 PM
(270) 365-0227
Fax: (270) 365-0480
Fax: (270) 365-2559
Nelson, Jennifer CNP
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 1075997
M-F 8:30 AM - 5:30 PM
M-F 8:30 AM - 5:00 PM
Gender: Female
Physician Assistant
Pennyroyal Regional MhHickman, Barbara APRN
Mr Board Inc
Provider ID: 611505
Parker, Kenneth PA
1350 US Hwy 62 W.
Gender: Female
Provider ID: 977594
Princeton, KY 42445
Cash Family Practice
Gender: Male
(270) 365-2008
PLLC
Fairview Physicians
Fax: (270) 365-2009
302 Micbeth Dr
Network LLC DBA
18 Yrs/99 Yrs
Princeton, KY 42445
100 Medical Center Dr
M-F 8:30 AM - 5:00 PM
(270) 365-1225
Princeton, KY 42445
Fax: (270) 365-1252
(270) 365-0300
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 93
06/01/2016
Allied Providers
Calloway
Audiology
Hicks, Michael AUD
Provider ID:
TPV1417142449-0
Gender: Male
300 S 8th St Ste 403E
Murray, KY 42071
(270) 761-1567
Fax: (270) 762-1568
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Nurse Practitioner
Alexander, Dana APRN
Provider ID: 633810
Gender: Female
Murray Calloway Co
Public Hospital Corp
300 S 8th St Ste 480W
Murray, KY 42071
(270) 753-0704
Fax: (270) 752-2852
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 8:00 PM
Atkinson, Heidi APRN
Provider ID: 708676
Gender: Female
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Austin, Faye APRN
Brown, Tricia ARNP
Provider ID: 599205
Provider ID: 1027655
Gender: Female
Gender: Female
Murray Calloway County Ulrf Pediatric Cardiology
Public Hospi
300 S 8th St Ste 480W
300 S 8th St Ste 208E
Murray, KY 42071
Murray, KY 42071
(502) 585-4802
(270) 759-9223
Fax: (502) 589-1256
Fax: (270) 753-7345
00 Yrs/99 Yrs
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Combs, Kyle APRN
Bazzell, Erica APRN
Provider ID: 972256
Provider ID: 1098757
Gender: Female
Gender: Female
Ulrf Pediatric Cardiology
Murray Medical
300 S 8th St Ste 480W
Associates
Murray, KY 42071
300 South 8th Ste 480W (502) 585-4802
Murray, KY 42071
Fax: (502) 589-1256
(270) 762-1515
00 Yrs/99 Yrs
Fax: (270) 762-3626
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Darnell, Rhonda APRN
Provider ID: 633817
Sat 8:00 AM - 12:00 PM
Gender: Female
Boone, Rhonda APRN
300 S 8th St Ste 480W
Provider ID: 633751
Murray, KY 42071
Gender: Female
(270) 527-2273
Murray Calloway Co Pub Fax: (270) 527-9602
Hospital Corp Db
00 Yrs/99 Yrs
300 S 8th St Ste 100W
MTWF 8:00 AM - 5:00
Murray, KY 42071
PM
(270) 762-1515
TH 8:00 AM - 8:00 PM
Fax: (270) 767-3635
Freeman, Sherry APRN
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 600407
Bourne, Jennie APRN
Gender: Female
Provider ID: 668736
Murray Womans Clinic
Gender: Female
305 S 8th St
West Kentucky Surgical
Murray, KY 42071
Associates
(270) 753-9300
300 S 8th St Ste 401E
Fax: (270) 753-2413
Murray, KY 42071
00 Yrs/99 Yrs
(270) 753-2444
Languages: Spanish
Fax: (270) 767-3644
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 94
Gargus, Jessica ARNP
Provider ID: 672138
Gender: Female
Baptist Health Medical
Group
300 S 8th St Ste 181
Murray, KY 42071
(270) 759-4098
Fax: (270) 767-3627
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Garth, Katy APRN
Provider ID: 655265
Gender: Female
Murray Calloway Co Pub
Hospital Corp Db
300 S 8th St Ste 301E
Murray, KY 42071
(270) 762-1566
Fax: (270) 767-1584
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Greene, Ginger APRN
Provider ID: 758552
Gender: Female
Murray Calloway Co Pub
Hospital Corp Db
300 S 8th St Ste 480W
Murray, KY 42071
(270) 762-1781
Fax: (270) 752-2852
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Melissa APRN
Provider ID: 1131988
Gender: Female
Physician Specialists of
Murray
300 S 8th St Ste 480 W
Murray, KY 42071
(270) 762-1515
Fax: (270) 767-3626
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Calloway
Nurse Practitioner - cont. McKeel, Lacy APRN
Ryan, Martha APRN
Provider ID: 675986
Provider ID: 633827
Jones, Catherine APRN
Gender: Female
Gender: Female
Provider ID: 633665
Murray Calloway County Murray Calloway Co
Gender: Female
Public Hospi
Public Hospital Corp
Murray Calloway Co
300 S 8th St Ste 208E
300 S 8th St Ste 480W
Public Hospital Corp
Murray, KY 42071
Murray, KY 42071
300 S 8th St Ste 480W
(270) 759-9223
(270) 762-1515
Murray, KY 42071
Fax: (270) 753-7345
Fax: (270) 752-2852
(270) 753-0704
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 767-3640
M-F 8:00 AM - 5:00 PM
MTWF 8:00 AM - 5:00
00 Yrs/99 Yrs
PM
Murphy, Kasey APRN
MTWF 8:00 AM - 5:00
TH 8:00 AM - 8:00 PM
PM
Provider ID: 1132649
Shircliff, Kristin APRN
TH 8:00 AM - 8:00 PM
Gender: Female
Provider ID: 1153254
Baptist Health Medical
Karraker, Sabrina APRN
Group Inc
Gender: Female
Provider ID: 642871
300 S 8th St Ste 181
Baptist Health Medical
Gender: Female
Group Inc
Murray, KY 42071
Murray Calloway Co Pub (270) 759-4098
300 S 8th St Ste 181
Hospital Corp Db
Murray, KY 42071
Fax: (270) 767-3627
300 S 8th St Ste 284W
(270) 575-3113
00 Yrs/99 Yrs
Murray, KY 42071
Fax: (270) 575-3135
M-F 8:00 AM - 5:00 PM
(270) 761-5756
00 Yrs/99 Yrs
Fax: (270) 767-3665
Rhinehart, Ashley APRN
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Provider ID: 1053148
Smith, Abbie APRN
Murray Calloway County Gender: Female
Hospital
Ulrf Pediatric Cardiology Provider ID: 939097
M-F 8:00 AM - 5:00 PM
Gender: Female
300 S 8th St Ste 480W
The Perinatal Group
Murray, KY 42071
Kelso, Laura APRN
1000 N 12th St
(502) 585-4802
Provider ID: 700540
Murray, KY 42071
Fax: (502) 589-1256
Gender: Female
(931) 572-0086
00 Yrs/99 Yrs
Western Kentucky
Fax: (931) 572-1078
M-F 8:00 AM - 5:00 PM
Kidney Specialists
00 Yrs/99 Yrs
300 S 8th St Ste 178W
Rogers, Jennifer APRN
M-F 8:00 AM - 5:00 PM
Murray, KY 42071
Provider ID: 670929
(270) 535-5880
Smith, Gary APRN
Gender: Female
Fax: (270) 767-3638
Provider ID: 1150898
Primary Care Medical
16 Yrs/99 Yrs
Center PSC
Gender: Male
M-F 8:30 AM - 5:00 PM
1000 S 12th St
Lourdes Pain
Management Center Murray, KY 42071
Mu
(270) 759-9200
1710 Hwy 121 N Bypass
Fax: (270) 759-9966
Ste I
00 Yrs/99 Yrs
Murray, KY 42071
M-F 8:00 AM - 5:00 PM
(270) 226-1118
Fax: (270) 226-1119
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 95
Sprunger Canella, Maria
CNM
Provider ID: 1181001
Gender: Female
Primary Care Medical
Center PSC
1000 S 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 6:00
PM
Trevathan, Elizabeth
APRN
Provider ID: 1124524
Gender: Female
Murray Calloway County
Public Hospi
300 S 8th St Ste 208E
Murray, KY 42071
(270) 759-9223
Fax: (270) 753-7345
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wiggins, Ashley APRN
Provider ID: 804306
Gender: Female
Primary Care Medical
Center PSC
1000 S 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Calloway
Occupational Therapy
Wright, Wendell OT
Provider ID: 940268
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Caturano, Robert PT
Provider ID: 723966
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dugan, Gordan PT
Provider ID: 708711
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Troutman, Adrianna PT
Provider ID: 934930
Gender: Female
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Adams, Marsha PA
Provider ID: 804303
Gender: Female
Primary Care Medical
Center PSC
1000 S 12th St
Murray, KY 42071
(270) 759-9200
Fax: (270) 759-9966
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Benjamin PA
Provider ID: 934903
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Burch, Frank PA
Provider ID: 601243
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
Elkins, William PA
Johnson, Kelly PA
Provider ID: 674780
Provider ID: 758553
Gender: Male
Gender: Female
Murray Calloway Co Pub Orthopedic Institute of
Hospital Corp Db
W Ky
300 S 8th St Ste 109E
100 S 12th St
Murray, KY 42071
Murray, KY 42071
(270) 762-1515
(270) 442-9461
Fax: (270) 762-1584
Fax: (270) 441-0079
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Greene, Richard PA
Provider ID: 667445
Gender: Male
Physician Specialists of
Murray
300 S 8th St Ste 182W
Murray, KY 42071
(270) 759-4000
Fax: (270) 762-1783
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kirchner, Benjamin PA
Provider ID: 934910
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hughes, Matthew PA
Provider ID: 667311
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Miller, Diane PA
Provider ID: 657011
Gender: Female
Murray Calloway Co Pub
Hospital Corp Db
300 S 8th St Ste 284W
Murray, KY 42071
(270) 761-5756
Fax: (270) 767-3665
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hutchins, Bradley PA
Provider ID: 755395
Gender: Male
Orthopedic Institute of
W Ky
100 S 12th St
Murray, KY 42071
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Taylor, Alysha PA
Provider ID: 1056839
Gender: Female
Murray Calloway County
Public Hospi
300 S 8th St Ste 208E
Murray, KY 42071
(270) 759-9223
Fax: (270) 753-7345
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 96
06/01/2016
Allied Providers
Carlisle
Family Practice
Whitehead, Jamie APRN
Jones, Emily APRN
Provider ID: 691842
Gender: Female
Kentuckycare 21
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 691836
Gender: Female
Ar Care
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Briscoe, Katina ARNP
Provider ID: 818270
Gender: Female
Kentuckycare 21
75 East Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Jackson, Darrye APRN
Provider ID: 721837
Gender: Female
Kentuckycare 21
75 E Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Occupational Therapy
Sturm, Amanda OT
Provider ID: 969437
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Collins, Dana PT
Provider ID: 786006
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
Kingston, Gregory APRN 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 912718
Gender: Male
Arcare
75 East Court St
Bardwell, KY 42023
(270) 628-3333
Fax: (270) 628-3334
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dolan, Lois PT
Provider ID: 656515
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grizzard, Amy PT
Provider ID: 756483
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hampton, Cheri PT
Provider ID: 671261
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Speech Therapy
Clark, Clare SLP
Provider ID: 1024870
Gender: Female
Hampton Physical
Therapy
200 US 51 N
Bardwell, KY 42023
(270) 528-9530
Fax: (270) 528-9530
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 97
06/01/2016
Allied Providers
Crittenden
Nurse Practitioner
Geiger, Elizabeth APRN
Armbruster, Teresa APRN
Provider ID: 1145965
Gender: Female
Tri-Rivers Healthcare,
PLLC
308 S Main St
Marion, KY 42064
(270) 965-4377
Fax: (270) 965-9569
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 618730
Gender: Female
Family Allergy Asthma
110 Country Club Dr
Marion, KY 42064
(270) 444-6828
00 Yrs/99 Yrs
MTWTHFSat 8:30 AM 5:00 PM
Boone, Lee APRN
Provider ID: 606255
Gender: Male
Family Practice Clinic
PSC
518 W Gum St
Marion, KY 42064
(270) 965-5238
Fax: (270) 965-9015
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Clark, Alicia APRN
Provider ID: 618496
Gender: Female
Family Practice Clinic
PSC
518 W Gum St
Marion, KY 42064
(270) 965-5238
Fax: (270) 965-9015
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Croft, Christie APRN
Provider ID: 755143
Gender: Female
Crittenden Health
Systems
520 W Gum St
Marion, KY 42064
(270) 965-5281
Fax: (270) 965-1061
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Brannon, Mark PA
Provider ID: 627048
Gender: Male
West Kentucky
Hematology Oncology
G
520 W Gum St
Marion, KY 42064
(270) 965-5281
00 Yrs/99 Yrs
M 10:30 AM - 12:00 PM
Brannon, Mark PA
Provider ID: 627048
Gender: Male
West Kentucky
Hematology Oncology
G
Hwy 60
Marion, KY 42064
(270) 441-4343
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 98
06/01/2016
Allied Providers
Fulton
Neuromuscular Medicine Jones, Elizabeth APRN
Provider ID: 658041
Alexander Lusk, Allie
Gender: Female
APRN
Hospital of Fulton Inc
Provider ID: 1183196
2006 Holiday Ln Ste 100
Gender: Female
Fulton, KY 42041
Parkway Regional
(270) 472-1612
Medical Clinic Inc
Fax: (270) 472-2095
2003 S 7th St
00 Yrs/99 Yrs
Hickman, KY 42050
M-F 8:00 AM - 5:00 PM
(270) 236-3202
Fax: (270) 236-9597
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 10:00 AM - 6:00 PM
Nurse Practitioner
Alexander Lusk, Allie
ARNP
Provider ID: 1181460
Gender: Female
Pinelake Physician
Practice LLC
2003 South 7th St
Hickman, KY 42050
(270) 236-3337
Fax: (270) 236-3340
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Alexander-Lusk, Allie
APRN
Provider ID: 657947
Gender: Female
Hospital of Fulton Inc
2003 S 7th St
Hickman, KY 42050
(270) 236-3202
Fax: (270) 236-9597
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 99
06/01/2016
Allied Providers
Graves
Nurse Midwife
Garrett, Melissa APRN
Provider ID: 938388
Riehl, Candace CNM
Gender: Female
Provider ID: 1183806
Western Kentucky
Gender: Female
Family Healthcare
Mayfield Family
318 South 7th St
Medicine
Mayfield, KY 42066
1111 Medical Center Circle (270) 251-3223
Mayfield, KY 42066
Fax: (270) 251-3220
(270) 251-4543
00 Yrs/99 Yrs
Fax: (270) 251-4544
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM Garrett, Melissa APRN
Provider ID: 952567
Nurse Practitioner
Gender: Female
Western Kentucky
Bazzell, Andrea APRN
Family Healthcare
Provider ID: 1115207
318 S 7th St
Gender: Female
Mayfield Pediatric Clinic Mayfield, KY 42066
(270) 251-3223
417 S 6th St
Fax: (270) 251-3220
Mayfield, KY 42066
00 Yrs/99 Yrs
(270) 247-1104
M-F 8:00 AM - 5:00 PM
Fax: (270) 241-1107
00 Yrs/99 Yrs
Kimbler, Amanda APRN
M-F 8:00 AM - 7:00 PM
Provider ID: 804114
Sat 9:00 AM - 5:00 PM
Gender: Female
Sun 2:00 AM - 5:00 PM
Western Kentucky
Family Healthcare
Driver, Rita APRN
318 S 7th St
Provider ID: 906288
Mayfield, KY 42066
Gender: Female
(270) 251-3223
Pinelake Physician
Fax: (270) 251-3220
Practice LLC
00 Yrs/99 Yrs
1099 Medical Center Cir
M-F 8:00 AM - 5:00 PM
Mayfield, KY 42066
(270) 251-4545
Fax: (270) 251-4546
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lipinski, Lori APRN
Provider ID: 958962
Gender: Female
Bluegrass Bariatric
Surgical Associ
1099 Medical Center Cir
Ste 408
Mayfield, KY 42066
(270) 251-4528
Fax: (270) 251-4529
18 Yrs/80 Yrs
M-F 8:00 AM - 5:00 PM
McNeill, Carly APRN
Provider ID: 602526
Gender: Female
Merit Behavioral
Associates
224 N 7th St
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
05 Yrs/80 Yrs
M-F 8:00 AM - 5:00 PM
Stringer, Sandy APRN
Provider ID: 807701
Gender: Female
Pinelake Physician
Practice LLC
1111 Medical Center Cir
Mayfield, KY 42066
(270) 251-4545
Fax: (270) 251-4546
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McNeill, Carly APRN
Provider ID: 602526
Gender: Female
Merit Behavioral
Associates
229 W Walnut St
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
05 Yrs/80 Yrs
M-F 9:00 AM - 5:00 PM
Wilkerson, Jennifer
APRN
Provider ID: 618423
Gender: Female
Baptist Health
Madisonville
318 S 7th St
Mayfield, KY 42066
(270) 251-3223
Fax: (270) 251-3220
00 Yrs/99 Yrs
Jackson Purchase
Medical Center
M-F 8:00 AM - 5:00 PM
Rhodes, Jaime APRN
Provider ID: 1196752
Gender: Female
Jackson Purchase
Gastroenterology A
1029 Medical Center
Circle Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Smith, Patricia APRN
Provider ID: 618713
Gender: Female
Merit Behavioral
Associates
229 W Walnut St
Mayfield, KY 42066
(270) 251-3666
Fax: (270) 251-3506
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 100
Wilson, Sarah APRN
Provider ID: 1183874
Gender: Female
Jackson Purchase
Gastroenterology A
1029 Medical Center
Circle Ste 401A
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
06/01/2016
Allied Providers
Graves
Nurse Practitioner - cont. Laframboise, David PT
Wilson, Sarah APRN
Provider ID: 995450
Gender: Female
Purchase
Gastroenterology
Associate
1029 Medical Center CR
Ste 306
Mayfield, KY 42066
(270) 251-4575
Fax: (270) 251-4577
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Brewer, Jani PT
Provider ID: 1209391
Gender: Female
Atlas Physical Therapy
LLC
1413 St Rt 45 N
Mayfield, KY 42066
(270) 247-9500
Fax: (270) 247-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Krueger, Bryan PT
Provider ID: 1209387
Gender: Male
Atlas Physical Therapy
LLC
1413 St Rt 45 N
Mayfield, KY 42066
(270) 247-9500
Fax: (270) 247-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1209389
Gender: Male
Atlas Physical Therapy
LLC
1413 St Rt 45 N
Mayfield, KY 42066
(270) 247-9500
Fax: (270) 247-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Clark, Emily PA
Provider ID: 603563
Gender: Female
Central Kentucky
Radiology PLLC
1099 Medical Center Cir
Mayfield, KY 42066
(606) 877-2840
Fax: (606) 877-2845
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dunn, Elizabeth PA
Provider ID: 1115209
Gender: Female
Mayfield Pediatric Clinic
417 S 6th St
Mayfield, KY 42066
(270) 247-1104
Fax: (270) 241-1107
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Koch, Jeffrey PA
Provider ID: 603562
Gender: Male
Central Kentucky
Radiology PLLC
1099 Medical Center Cir
Mayfield, KY 42066
(606) 877-2840
Fax: (606) 877-2845
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 101
06/01/2016
Allied Providers
Livingston
Nurse Practitioner
Drawdy, Joseph APRN
Provider ID: 669038
Gender: Male
Burkhart Rural Health
Clinic
117 E Main
Salem, KY 42078
(270) 988-3839
Fax: (270) 988-3832
00 Yrs/99 Yrs
M-F 7:30 AM - 4:00 PM
Physician Assistant
Brannon, Mark PA
Provider ID: 627048
Gender: Male
West Kentucky
Hematology Oncology
G
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Keller, Lee APRN
Provider ID: 615101
Gender: Female
Livingston Hospital and
Healthcare
1860 Jh Obryan Ave
Grand Rivers, KY 42045
(270) 362-8246
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Keller, Lee APRN
Provider ID: 904981
Gender: Female
Livingston Hospital and
Healthcare
131 Hospital Dr
Salem, KY 42078
(270) 988-2299
Fax: (270) 988-3900
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Phillips, Kara APRN
Provider ID: 1200020
Gender: Female
Tri Rivers Healthcare
PLLC
205 E Adair St
Smithland, KY 42081
(270) 928-2146
Fax: (270) 928-4492
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 8:00 AM - 4:00 PM
www.wellcare.com/Kentucky | 102
06/01/2016
Allied Providers
Lyon
Nurse Practitioner
Scheidler, Elizabeth
APRN
Provider ID: 667104
Gender: Female
Mercy Primary Care Lyon
Co
97 Lakeshore Dr
Kuttawa, KY 42055
(270) 388-4357
Fax: (270) 388-4184
00 Yrs/99 Yrs
MTTHF 8:30 AM - 5:00
PM
W 8:30 AM - 12:00 PM
White, Teresa APRN
Provider ID: 631744
Gender: Female
Livingston Hospital and
Healthcare
209 W Main St
Eddyville, KY 42038
(270) 388-0620
Fax: (270) 388-0604
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Wood, Wyetha APRN
Provider ID: 1057011
Gender: Female
Livingston Hospital and
Healthcare
209 W Main St
Eddyville, KY 42038
(270) 388-0620
Fax: (270) 388-0604
00 Yrs/99 Yrs
Crittenden County
Hospital
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 103
06/01/2016
Allied Providers
Marshall
Nurse Practitioner
Alexander, Dana APRN
Provider ID: 671950
Gender: Female
Murray Calloway Co
Public Hospital Corp
310 W 5th St
Benton, KY 42025
(270) 906-2444
Fax: (270) 906-2555
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bradley, Kimberly APRN
Provider ID: 957661
Gender: Female
Mercy Primary Care
Marshall County
83 Wellness Way
Benton, KY 42025
(270) 527-8601
Fax: (270) 527-9615
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Darnell, Rhonda APRN
Provider ID: 633819
Gender: Female
Marshall County Family
Medicine
543 Powell Ln
Benton, KY 42025
(270) 527-2273
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 8:00 PM
Elkins, Michelle APRN
Provider ID: 643969
Gender: Female
Marshall Co Family
Medical Center
543 Powell Ln
Benton, KY 42025
(270) 527-2273
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fiessinger, Willard APRN Gott, Melissa APRN
Jones, Catherine APRN
Provider ID: 1129680
Provider ID: 1081130
Provider ID: 671949
Gender: Male
Gender: Female
Mercy Primary Care Marshall County Surgical Gender: Female
Benton
& Medical
Murray Calloway Co
Public Hospital Corp
83 Wellness Way
617 Old Symsonia Rd
310 W 5th St
Benton, KY 42025
Benton, KY 42025
Benton, KY 42025
(270) 527-0045
(270) 527-2411
(270) 906-2444
Fax: (270) 527-0075
Fax: (270) 527-8734
Fax: (270) 906-2555
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fooshee, Staci APRN
Houston, John APRN
Jones, Catherine APRN
Provider ID: 957703
Provider ID: 627106
Gender: Female
Gender: Male
Provider ID: 685773
Mercy Primary Care
Baptist Health Medical
Gender: Female
Marshall Count
Group Inc
Mercy Primary Care
83 Wellness Way
5013 Gilbertsville Hwy
Benton
Benton, KY 42025
Calvert City, KY 42029
83 Wellness Way
(270) 527-8601
(270) 909-2196
Benton, KY 42025
Fax: (270) 527-9615
Fax: (270) 909-2204
(270) 527-0045
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 527-0075
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Garrett, Melissa APRN
Johnson, Rebecca APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 751194
Provider ID: 712933
Lipinski, Lori APRN
Gender: Female
Gender: Female
Provider ID: 683884
Purchase Care LLC
Primary Care Medical
Gender: Female
Center
503 E 5th Ave
Baptist Health Medical
543 Powell Ln
Calvert City, KY 42029
Group
Benton, KY 42025
(270) 395-5388
4754 Hwy 62
(270) 759-9200
Fax: (270) 395-1792
Calvert City, KY 42029
Fax:
(270)
759-9966
00 Yrs/99 Yrs
(270) 415-7780
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 415-7779
M-F 8:00 AM - 5:00 PM
Gott, Melissa APRN
00 Yrs/99 Yrs
Jones, Catherine APRN
Provider ID: 1049124
M-F 8:00 AM - 5:00 PM
Provider ID: 657149
Gender: Female
Lipinski, Lori APRN
Marshall Co Surgical and Gender: Female
Provider ID: 958962
Medical Gr
Albertson Family
Gender: Female
Medical Center
617 Old Sysmsonia
Purchase Care LLC
543 Powell Ln
Benton, KY 42025
503 5th Ave
Benton,
KY
42025
(270) 527-2411
Calvert City, KY 42029
(270) 527-0045
Fax: (270) 527-8734
(270) 395-5388
Fax: (270) 527-0075
00 Yrs/99 Yrs
Fax: (270) 395-1792
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
18 Yrs/80 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 104
06/01/2016
Allied Providers
Marshall
Nurse Practitioner - cont. Riley, Debra APRN
Provider ID: 671951
Lovett, Jessica APRN
Gender: Female
Provider ID: 667075
Murray Calloway Co
Gender: Female
Public Hospital Corp
Mercy Primary Care
310 W 5th St
Marshall County
Benton, KY 42025
83 Wellness Way Ln
(270) 906-2444
Benton, KY 42025
Fax: (270) 906-2555
(270) 527-8601
00 Yrs/99 Yrs
Fax: (270) 527-9615
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Riley, Debra APRN
Provider ID: 909599
Lovett, Jessica APRN
Gender: Female
Provider ID: 704998
Mercy Primary Care
Gender: Female
Benton
Rma Operating Inc DBA
83 Wellness Way
Regional Medi
Benton, KY 42025
83 Wellness Way Ln
(270) 527-0045
Benton, KY 42025
Fax: (270) 527-0075
(270) 252-3212
00 Yrs/99 Yrs
Fax: (270) 527-9597
M-F 9:00 AM - 5:00 PM
00 Yrs/18 Yrs
Ryan, Martha APRN
Languages: Spanish
Provider ID: 671953
M-F 8:00 AM - 6:00 PM
Gender: Female
Manley, Dana APRN
Murray Calloway Co
Provider ID: 595846
Public Hospital Corp
Gender: Female
310 W 5th St
Marshall County Health
Benton, KY 42025
Department
(270) 906-2444
267 Slickback Rd
Fax: (270) 906-2555
Benton, KY 42025
00 Yrs/99 Yrs
(270) 527-1496
M-F 8:00 AM - 5:00 PM
Fax: (270) 527-5321
Tynes, Yolanda APRN
00 Yrs/99 Yrs
Provider ID: 595830
M-F 8:00 AM - 5:00 PM
Gender: Female
Moryl, Maegan APRN
Marshall County Health
Provider ID: 1143051
Department
Gender: Female
267 Slickback Rd
Mercy Primary Care Benton, KY 42025
Benton
(270) 527-1496
83 Wellness Way
Fax: (270) 527-5321
Benton, KY 42025
00 Yrs/99 Yrs
(270) 527-0045
Languages: Spanish
Fax: (270) 527-0075
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
White, Saundra APRN
Provider ID: 595828
Gender: Female
Marshall County Health
Department
267 Slickback Rd
Benton, KY 42025
(270) 527-1496
Fax: (270) 527-5321
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Occupational Therapy
Sturm, Amanda OT
Provider ID: 969437
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Brewer, Jani PT
Provider ID: 1209391
Gender: Female
Atlas Physical Therapy
LLC
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 105
Collins, Dana PT
Provider ID: 786006
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dolan, Lois PT
Provider ID: 656515
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grizzard, Amy PT
Provider ID: 756483
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hampton, Cheri PT
Provider ID: 671261
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Marshall
Physical Therapy - cont.
Speech Therapy
Krueger, Bryan PT
Provider ID: 1209387
Gender: Male
Atlas Physical Therapy
LLC
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 252-7026
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Clare SLP
Provider ID: 1024870
Gender: Female
Hampton Physical
Therapy
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Laframboise, David PT
Provider ID: 1209389
Gender: Male
Atlas Physical Therapy
LLC
244 US Hwy 68 E
Benton, KY 42025
(270) 527-4322
Fax: (270) 527-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Garrett, Melinda PA
Provider ID: 611668
Gender: Female
Paducah Dermatology
PLLC
619 Old Symsonia Rd
Benton, KY 42025
(270) 444-8477
Fax: (270) 444-8479
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 106
06/01/2016
Allied Providers
McCracken
Cardiology
Ellison, Linda APRN
Provider ID: 637198
Gender: Female
Cardiology of Paducah
225 Medical Center Dr
Ste 204
Paducah, KY 42003
(270) 441-4298
Fax: (270) 441-4243
18 Yrs/99 Yrs
Baptist Health Paducah
MTTH 8:00 AM - 4:30
PM
WF 8:00 AM - 12:00 PM
Jackson, Darry APRN
Provider ID: 1094383
Gender: Female
Arcare
3240 Irvin Cobb
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jones, Emily APRN
Provider ID: 1057163
Gender: Female
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
Children With Special
(270) 443-9474
Health Care Needs
Fax: (270) 443-9477
Commission For Children 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
With Special
Provider ID: 616818
Jones, Emily APRN
Paducah Regional
Provider ID: 1094389
Ccshcn
Gender: Female
400 Park Ave Bldg D
Arcare
Paducah, KY 42001
3240 Irvin Cobb
(270) 443-3651
Paducah, KY 42003
Fax: (270) 441-7119
(270) 443-9474
00 Yrs/21 Yrs
Fax: (270) 443-9477
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
Family Practice
M-F 8:00 AM - 5:00 PM
Briscoe, Katina APRN
Provider ID: 1057156
Gender: Female
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Whitehead, Jaime APRN
Provider ID: 1057171
Gender: Female
Arcare
3240 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-9474
Fax: (270) 443-9477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Ambler, Janet APRN
Provider ID: 1124872
Gender: Female
Mercy Behavioral Health
Specialists
1532 Lone Oak Rd Ste
345
Paducah, KY 42003
(270) 444-2250
Fax: (270) 538-6596
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Armbruster, Teresa APRN
Provider ID: 752572
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-4862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Armbruster, Teresa APRN
Provider ID: 752572
Gender: Female
Baptist Health Medical
Group
3220 Irving Cobb Rd
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Armbruster, Teresa APRN Atkinson, Heidi APRN
Provider ID: 708676
Provider ID: 618730
Gender: Female
Gender: Female
Orthopedic Institute of
Family Allergy Asthma
W Ky
2312 Kentucky Ave
4787 Alben Barkley Rd
Kingston, Gregory APRN Paducah, KY 42003
Paducah, KY 42002
(270) 442-5151
(270) 442-9461
Fax: (270) 442-1424
Provider ID: 1094385
Fax: (270) 441-0079
00 Yrs/99 Yrs
Gender: Male
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Arcare
M-F 8:00 AM - 5:00 PM
3240 Irvin Cobb
Baker, Amy APRN
Paducah, KY 42003
Provider ID: 908839
(270) 443-9474
Gender: Female
Fax: (270) 443-9477
Baptist Health Medical
00 Yrs/99 Yrs
Group
M-F 8:00 AM - 5:00 PM
100 Kiana Ct
Paducah, KY 42001
(270) 554-0011
Fax: (270) 554-6540
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 107
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Bess, Melinda APRN
Provider ID: 1165439
Baker, Kimberly APRN
Gender: Female
Provider ID: 1005131
Baptist Health Medical
Gender: Female
Group Inc
Baptist Health Medical
5130 Hinkleville Rd
Group Inc
Paducah, KY 42001
2603 Kentucky Ave Ste
(270) 450-1191
201
Fax: (270) 450-0710
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 575-2100
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Bilak, Paul APRN
Provider ID: 667488
Bell, Monica APRN
Gender: Male
Provider ID: 618652
Lourdes Wound Care
Gender: Female
225 Medical Center Dr
Family Allergy and
Ste 205
Asthma
Paducah, KY 42003
2312 Kentucky Ave
(270) 441-4462
Paducah, KY 42003
Fax: (270) 441-4461
(270) 442-5151
00 Yrs/99 Yrs
Fax: (502) 429-6157
Languages: French,
00 Yrs/99 Yrs
German
Lake Cumberland
M-F 8:00 AM - 5:00 PM
Regional Hospital
M-F 9:00 AM - 5:00 PM Blackwell, Tara APRN
Provider ID: 1128888
Bess, Melinda APRN
Gender: Female
Provider ID: 1165439
Norton Mfm Specialists
Gender: Female
2605 Kentucky Ave Bldg
Baptist Health Medical
3 Ste 102
Group Inc
Paducah, KY 42003
3220 Irvin Cobb Dr
(270) 415-8965
Paducah, KY 42003
Fax: (855) 855-4585
(270) 450-1240
00 Yrs/99 Yrs
Fax: (270) 450-1243
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Blackwell, Tara APRN
Provider ID: 667438
Gender: Female
Mercy OB/GYN
1532 Lone Oak Rd Ste
245
Paducah, KY 42003
(270) 538-5700
Fax: (270) 538-5701
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Boone, Rhonda APRN
Brockman, Blair APRN
Provider ID: 614396
Provider ID: 1165469
Gender: Female
Gender: Female
Transformation Wellness Baptist Health Medical
Center
Group Inc
125 S 20th St
2601 Kentucky Ave Ste
301
Paducah, KY 42001
Paducah, KY 42003
(270) 443-0885
(270) 575-3113
Fax: (270) 443-9068
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Bossuah, Kwaghdoo
APRN
Provider ID: 1108239
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bray, Deborah APRN
Provider ID: 708807
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Briscoe, Katina ARNP
Provider ID: 960937
Gender: Female
Ar Care
1901 Kentucky Ave
Paducah, KY 42003
(270) 575-3247
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 108
Brown, Anna APRN
Provider ID: 669101
Gender: Female
Mercy Inpatient
Medicine Specialist
1530 Lone Oak Rd
Paducah, KY 42003
(270) 444-2394
Fax: (270) 444-2972
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Tricia ARNP
Provider ID: 1027655
Gender: Female
Ulrf Pediatric Cardiology
2605 Kentucky Ave
Paducah, KY 42003
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Buckhalter, Brandy APRN
Provider ID: 1131990
Gender: Female
Mercy Health Physicians
Kentucky LL
225 Medical Center Dr
Ste 101
Paducah, KY 42003
(270) 441-4357
Fax: (270) 441-4132
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 4:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Byrd, Amy APRN
Provider ID: 1128872
Buckhalter, Brandy APRN Gender: Female
Baptist Health Medical
Provider ID: 1196868
Group Inc
Gender: Female
2605 Kentucky Ave Ste
Baptist Health Medical
601
Group Inc
Paducah, KY 42003
2603 Kentucky Ave Ste
(270) 408-4368
105
Fax: (270) 408-3272
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 415-4802
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Carr, Tammy APRN
Provider ID: 613417
Buckley, Christina APRN
Gender: Female
OB/GYN of Paducah
Provider ID: 1100792
PSC
Gender: Female
2603 Kentucky Ave Ste
Baptist Health Medical
201
Group Inc
Paducah, KY 42003
3220 Irvin Cobb Dr
(270) 443-1220
Paducah, KY 42003
Fax: (270) 443-0023
(270) 450-1240
00 Yrs/99 Yrs
Fax: (270) 450-1243
Baptist Health Paducah
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Carr, Tammy ARNP
Sun 11:00 AM - 5:00 PM
Provider ID: 927412
Gender: Female
Buckley, Christina APRN
Baptist Health Medical
Group Inc
Provider ID: 1100792
2603 Kentucky Ave Ste
Gender: Female
201
Baptist Health Medical
Paducah, KY 42003
Group Inc
(270) 575-2100
5130 Hinkleville Rd
00 Yrs/99 Yrs
Paducah, KY 42001
M-F 8:00 AM - 5:00 PM
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Carrell, Mary APRN
Provider ID: 1165495
Gender: Female
Baptist Health Medical
Group Inc
2603 Kentucky Ave Ste
201
Paducah, KY 42003
(270) 443-1220
Fax: (270) 443-0023
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Carrell, Mary APRN
Provider ID: 667437
Gender: Female
Mercy OB/GYN
1532 Lone Oak Rd Ste
245
Paducah, KY 42003
(270) 538-5700
Fax: (270) 538-5701
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Chapman, Melanie APRN
Provider ID: 579970
Gender: Female
Baptist Health Medical
Group
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 9:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 109
Cherry, Pamela APRN
Provider ID: 595396
Gender: Female
Internal Medicine Group
225 Medical Center Dr
Ste 201
Paducah, KY 42003
(270) 441-4200
Fax: (270) 441-4249
16 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
Cobb, Anaclare APRN
Provider ID: 1180589
Gender: Female
Baptist Health Medical
Group Inc
3220 Irvin Cobb Dr
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cobb, Anaclare APRN
Provider ID: 1180589
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Combs, Kyle APRN
Provider ID: 972256
Gender: Female
Ulrf Pediatric Cardiology
2605 Kentucky Ave
Paducah, KY 42003
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Crumble, Tara APRN
Provider ID: 614383
Cooper, Brenda APRN
Gender: Female
Provider ID: 935564
Mercy Emergency
Gender: Female
Medicine Specialist
Hope Unlimited
1530 Lone Oak Rd
1101 Jefferson St
Paducah, KY 42003
Paducah, KY 42001
(270) 444-2150
(270) 442-1166
Fax: (270) 444-2985
Fax: (270) 442-9948
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Crumble, Tara APRN
Cooper, Brenda APRN
Provider ID: 614383
Provider ID: 935564
Gender: Female
Gender: Female
Purchase Derm ENT LLC
Paducah Womens Clinic 2605 Kentucky Ave Ste
2311 Kentucky Ave
601
Paducah, KY 42003
Paducah, KY 42003
(270) 443-8425
(270) 408-4368
Fax: (270) 442-3303
Fax: (270) 408-3272
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Croft, Christie APRN
Provider ID: 762270
Gender: Female
Baptist Health Medical
Group
3220 Irving Cobb Rd
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Crumble, Tara APRN
Provider ID: 652261
Gender: Female
Purchase Derm ENT LLC
2605 Kentucky Ave Ste
601 Dob 3
Paducah, KY 42003
(270) 408-4368
Fax: (270) 408-3272
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Crumble, Tara APRN
Davis, Jacqueline APRN
Provider ID: 1185668
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-4862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1214181
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Derington, Kelly APRN
Provider ID: 606283
Gender: Female
West Kentucky
Hematology Oncology
G
225 Medical Center Dr
Ste 301
Paducah, KY 42003
(270) 441-4343
Fax: (270) 441-4344
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Drish, Robert APRN
Provider ID: 667171
Gender: Male
Mercy Emergency
Medicine Specialist
1530 Lone Oak Rd
Paducah, KY 42003
(270) 444-2845
Fax: (270) 444-2481
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Etheridge, Meredith
ARNP
Provider ID: 700438
Gender: Female
Internal Medicine Group
225 Medical Center Dr
Ste 201
Paducah, KY 42003
(270) 441-4200
Fax: (270) 441-4249
16 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
www.wellcare.com/Kentucky | 110
Evans, Kim APRN
Provider ID: 751215
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-7862
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Farless, Chelsey APRN
Provider ID: 1199517
Gender: Female
Jackson Purchase
Medical Associates
225 Medical Center Dr
Ste 201
Paducah, KY 42003
(270) 441-4200
Fax: (270) 441-4249
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Farless, Chelsey APRN
Provider ID: 1199518
Gender: Female
Jackson Purchase
Medical Associates
225 Medical Center Dr
Ste 302
Paducah, KY 42003
(270) 441-4568
Fax: (270) 441-4288
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Faulkner, Kelly APRN
Provider ID: 807374
Gender: Female
Paducah Physiatric
Partners
5150 Village Square Dr
Paducah, KY 42001
(270) 415-9575
Fax: (270) 415-9576
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Flowers, Emily APRN
Friedrich, Kristie APRN
Provider ID: 1132632
Provider ID: 1165560
Fennel, Krista CNP
Gender: Female
Gender: Female
Provider ID: 671492
Mercy Primary Care Baptist Health Medical
Gender: Female
Paducah
Group Inc
Baptist Health Medical
1532 Lone Oak Rd Ste 150 2601 Kentucky Ave Ste
Group
101
Paducah, KY 42003
2603 Kentucky Ave Ste
Paducah, KY 42003
(270) 538-5596
404
(270) 415-4600
Fax: (270) 538-5597
Paducah, KY 42003
Fax: (270) 575-2642
00 Yrs/99 Yrs
(270) 443-6472
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Fax: (270) 442-1649
M-F 8:00 AM - 9:00 PM
00 Yrs/99 Yrs
Friedrich, Kristie APRN
Sat 9:00 AM - 7:00 PM
M-F 8:00 AM - 5:00 PM
Sun 11:00 AM - 6:00 PM
Provider ID: 1165558
Fiessinger, Willard APRN Gender: Female
Gargus, Jessica ARNP
Baptist Health Medical
Provider ID: 672138
Provider ID: 721059
Group Inc
Gender: Female
Gender: Male
3220 Irvin Cobb Dr
Baptist Health Medical
Mercy Emergency
Paducah, KY 42003
Group
Medicine Specialist
(270) 450-0710
2601 Kentucky Ave Ste
1530 Lone Oak Rd
301
Fax: (270) 450-1243
Paducah, KY 42003
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 444-2150
(270) 575-3113
M-F 8:00 AM - 5:00 PM
Fax: (270) 444-2985
Fax: (570) 575-3135
00 Yrs/99 Yrs
Friedrich, Kristie APRN
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 1165559
Finney, Barbara APRN
Gender: Female
Gipson, Jonathan APRN
Provider ID: 807514
Baptist Health Medical
Provider ID: 977061
Gender: Female
Group Inc
Gender: Male
Stephen Luigs MD PSC
5130 Hinkleville Rd
Baptist Health Medical
1532 Lone Oak Rd Ste
Paducah, KY 42001
Group
G10 Marshall Nemer
(270) 450-1191
2603 Kentucky Ave Ste
Pavilion
404
Fax: (270) 450-1240
Paducah, KY 42003
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 441-0021
(270) 443-6472
M-F 8:00 AM - 9:00 PM
Fax: (270) 441-7922
Fax: (270) 442-1649
Sat 9:00 AM - 7:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Sun 11:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 111
Gott, Melissa APRN
Provider ID: 629513
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
102
Paducah, KY 42003
(270) 575-8462
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gott, Melissa APRN
Provider ID: 629513
Gender: Female
Baptist Health Medical
Group
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:30 AM - 7:30 PM
Sat 8:30 AM - 6:30 PM
Sun 11:30 AM - 5:30 PM
Gottman, Erin APRN
Provider ID: 1150970
Gender: Female
Family Allergy & Asthma
2312 Kentucky Ave
Paducah, KY 42003
(270) 442-5151
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gottman, Erin APRN
Provider ID: 667297
Gender: Female
Pamela Hodges MD PSC
2605 Kentucky Ave Ste
304
Paducah, KY 42003
(270) 575-4555
Fax: (270) 575-4882
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Higdon, Julianne APRN
Grace, Bonnie APRN
Provider ID: 667457
Gender: Female
Mercy Gastroenterology
1532 Lone Oak Rd Ste 310
Paducah, KY 42003
(270) 443-0777
Fax: (270) 443-0999
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1128824
Gender: Female
Mercy Medical
Associates
2200 S 28th St
Paducah, KY 42003
(270) 444-5760
Fax: (270) 444-5763
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hack, Kristie APRN
Higdon, Julianne APRN
Provider ID: 951359
Gender: Female
Provider ID: 1128826
Mercy Gastroenterology Gender: Female
1532 Lone Oak Rd Ste 310 Mercy Medical
Paducah, KY 42003
Associates
(270) 443-0777
301 Cumberland Ave
Fax: (270) 443-0999
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 538-4208
M-F 8:00 AM - 5:00 PM
Fax: (270) 538-4209
00 Yrs/99 Yrs
Hart, Christy APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 667265
Gender: Female
Higdon, Julianne APRN
Paducah Dermatology
PLLC
Provider ID: 1128827
2601 Kentucky Ave Ste
Gender: Female
402
Mercy Medical
Paducah, KY 42003
Associates
(270) 444-8477
5347 Benton Rd
Fax: (270) 444-8479
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 538-4202
M-F 8:00 AM - 5:00 PM
Fax: (270) 538-4203
00 Yrs/99 Yrs
Higdon, Julianne APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1128821
Gender: Female
Baptist Health Medical
Group Inc
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-4862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hodges, Sharon APRN
Provider ID: 1196922
Gender: Female
Baptist Health Medical
Group Inc
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-4862
00 Yrs/99 Yrs
M-F 7:00 AM - 7:00 PM
Sat 8:00 AM - 1:00 PM
Hodges, Sharon APRN
Provider ID: 1203727
Gender: Female
Baptist Health Medical
Group Inc
632 Lone Oak Rd
Paducah, KY 42003
(270) 442-4830
Fax: (270) 442-7667
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Holt, Paul APRN
Provider ID: 627424
Gender: Male
Dr Butler Associates
PLLC
2603 Kentucky Ave Ste
303
Paducah, KY 42003
(270) 443-2900
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 112
Houston, John APRN
Provider ID: 627106
Gender: Male
Baptist Health Medical
Group Inc
2535 Broadway St
Paducah, KY 42001
(270) 575-3001
Fax: (270) 575-3001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hovell, Lucretia ARNP
Provider ID: 1143107
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Hudson, Samantha APRN
Provider ID: 910491
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jackson, Darrye APRN
Provider ID: 643964
Gender: Female
Ar Care
1901 Kentucky Ave
Paducah, KY 42003
(270) 575-3247
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Kingston, Gregory APRN Knight, Kimberley APRN
Provider ID: 667185
Provider ID: 795982
Jernigan, Kimberly APRN Gender: Male
Gender: Female
Provider ID: 1180815
Mercy Emergency
Mercy Vascular
Gender: Female
Medicine Specialist
Specialists
Mercy Health Physicians 1530 Lone Oak Rd
1532 Lone Oak Rd Ste
Kentucky LL
405
Paducah, KY 42003
1532 Lone Oak Rd Ste 310 (270) 444-2845
Paducah, KY 42003
Paducah, KY 42003
(270) 441-4300
Fax: (270) 444-2481
(270) 443-0777
Fax: (270) 441-4925
00 Yrs/99 Yrs
Fax: (270) 443-0999
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:00 PM Kingston, Gregory APRN
Koenigsmark, Kyli APRN
Jones, Emily APRN
Provider ID: 912717
Provider ID: 691942
Provider ID: 960911
Gender: Male
Gender: Female
Gender: Female
Arcare
Mercy Vascular
Ar Care
Specialists
1901 Kentucky Ave
1901 Kentucky Ave
1532 Lone Oak Rd Ste
Paducah, KY 42003
Paducah, KY 42003
405
(270) 415-0467
(270) 575-3247
Paducah, KY 42003
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 441-4300
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (270) 441-4925
Kirk, Shay APRN
00 Yrs/99 Yrs
Kehrer, Leon APRN
Provider ID: 1165621
M-F 8:00 AM - 5:00 PM
Provider ID: 932874
Gender: Female
Gender: Male
Mercy Health Physicians Lane, Natasha APRN
Orthopedic Institute of
Provider ID: 1180874
Kentucky LL
W Ky
Gender: Female
225 Medical Center Dr
4787 Alben Barkley Dr
Ste 402
Baptist Health Medical
Paducah, KY 42002
Group Inc
Paducah, KY 42003
(270) 442-9461
3220 Irvin Cobb Dr
(270) 442-0103
Fax: (270) 441-0079
Paducah, KY 42003
Fax: (270) 442-0109
00 Yrs/99 Yrs
(270) 450-1240
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 450-1243
M-F 8:00 AM - 4:00 PM
00 Yrs/99 Yrs
Kelso, Laura APRN
Knees, Amy APRN
M-F 8:00 AM - 7:00 PM
Provider ID: 700540
Provider ID: 1049560
Sat 8:00 AM - 6:30 PM
Gender: Female
Gender: Female
Sun 11:00 AM - 6:00 PM
Western Kentucky
Baptist Health Medical
Kidney Specialists
Group Inc
1532 Lone Oak Rd Ste 315 2601 Kentucky Ave Ste
Paducah, KY 42003
301
(270) 538-5880
Paducah, KY 42003
Fax: (270) 538-5870
(270) 575-3113
16 Yrs/99 Yrs
Fax: (270) 575-3588
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 113
Leath, Heather APRN
Provider ID: 786301
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-7862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lindsay, Dennice APRN
Provider ID: 700517
Gender: Female
Baptist Health Medical
Group
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:30 AM - 7:30 PM
Sat 8:30 AM - 6:30 PM
Sun 11:30 AM - 5:30 PM
Lipinski, Lori APRN
Provider ID: 1212979
Gender: Female
Baptist Health Medical
Group Inc
632 Lone Oak Rd
Paducah, KY 42003
(270) 442-4830
Fax: (270) 442-7667
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Matcheswala, Katherine
APRN
Lipinski, Lori APRN
Provider ID: 1199992
Provider ID: 683884
Gender: Female
Gender: Female
Baptist Health Medical
Baptist Health Medical
Group Inc
Group
3220 Irvin Cobb Dr
2601 Kentucky Ave Ste
Paducah, KY 42003
103
(270) 450-1240
Paducah, KY 42003
Fax: (270) 450-1243
(270) 415-4860
00 Yrs/99 Yrs
Fax: (270) 415-4862
M-F 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Sun 11:00 AM - 5:00 PM
Lipinski, Lori APRN
Matcheswala, Katherine
Provider ID: 683884
APRN
Gender: Female
Provider ID: 1199992
Baptist Health Medical
Gender: Female
Group
Baptist Health Medical
3220 Irvin Cobb Dr
Group Inc
Paducah, KY 42003
5130 Hinkleville Rd
(270) 450-1240
Paducah, KY 42001
Fax: (270) 450-1243
(270) 450-1191
00 Yrs/99 Yrs
Fax: (270) 450-1710
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Lipinski, Lori APRN
Sat 8:00 AM - 6:00 PM
Provider ID: 683884
Sun 11:00 AM - 5:00 PM
Gender: Female
Baptist Health Medical
McElroy, Laura CNP
Group
Provider ID: 618636
5130 Hinkleville Rd
Gender: Female
Paducah, KY 42001
Family Allergy Asthma
(270) 450-1191
2312 Kentucky Ave
Fax: (270) 450-1710
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 442-5151
M-F 8:00 AM - 5:00 PM
Fax: (502) 429-6157
00 Yrs/99 Yrs
Lykins, Tara APRN
Norton Audubon
Provider ID: 691929
Hospital
Gender: Female
Cardiology Associates of M-F 8:00 AM - 5:00 PM
Paducah
1532 Lone Oak Rd Ste 415
Paducah, KY 42003
(270) 442-0103
Fax: (270) 442-0109
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Miller, Lisa APRN
Provider ID: 673683
Gender: Female
Baptist Express Care
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Moore, Joan APRN
Provider ID: 1189572
Gender: Female
Baptist Health Medical
Group Inc
3220 Irvin Cobb Dr
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 5:00 PM
Moore, Joan APRN
Provider ID: 1189572
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 5:00 PM
Morgan, Teresa APRN
Provider ID: 1143113
Gender: Female
Baptist Health Medical
Group Inc
3220 Irvin Cobb Dr
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
www.wellcare.com/Kentucky | 114
Morgan, Teresa APRN
Provider ID: 1143115
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-0710
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Morgan, Teresa APRN
Provider ID: 1143116
Gender: Female
Baptist Health Medical
Group Inc
6530 New Hwy 60 W
Paducah, KY 42001
(270) 538-4696
Fax: (270) 538-4397
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Moss, Teresa APRN
Provider ID: 712892
Gender: Female
Cardiology Associates of
Paducah
1532 Lone Oak Rd Ste 415
Paducah, KY 42003
(270) 442-0103
Fax: (270) 442-0109
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Murphy, Kasey APRN
Provider ID: 1132649
Gender: Female
Baptist Health Medical
Group Inc
2601 Kentucky Ave Ste
301
Paducah, KY 42003
(270) 575-3113
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Osbron, Donna APRN
Provider ID: 998854
New, Darrell APRN
Gender: Female
Provider ID: 1165675
Baptist Health Medical
Gender: Male
Group Inc
Mercy Primary Care 2603 Kentucky Ave Ste
Paducah
201
1532 Lone Oak Rd Ste 150 Paducah, KY 42003
Paducah, KY 42003
(270) 575-2100
(270) 538-5596
00 Yrs/99 Yrs
Fax: (270) 538-5597
Murray Calloway
00 Yrs/99 Yrs
Hospital Dpu
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
Oetjen, Lisa APRN
Reed, Samantha APRN
Provider ID: 791483
Gender: Female
Provider ID: 667442
Mercy Primary Care
Gender: Female
Paducah
Mercy Regional Heart
1532 Lone Oak Rd Ste 150 and Lung Surge
Paducah, KY 42003
1532 Lone Oak Rd Ste
(270) 538-5596
445
Fax: (270) 538-5597
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 583-5830
M-F 8:00 AM - 5:00 PM
Fax: (270) 538-5835
00 Yrs/99 Yrs
Osbron, Donna APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 900379
Gender: Female
Reed, Samantha APRN
Owens Obstetric
Provider ID: 765872
2603 Kentucky Ave Ste
Gender: Female
302
Baptist Health Medical
Paducah, KY 42001
Group
(270) 575-4551
2601 Kentucky Ave Ste
301
Fax: (270) 575-4560
Paducah, KY 42003
00 Yrs/99 Yrs
(270) 575-3113
M-F 8:00 AM - 5:00 PM
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhinehart, Ashley APRN Richmond, Brittney
APRN
Provider ID: 1053148
Provider ID: 1171483
Gender: Female
Ulrf Pediatric Cardiology Gender: Female
Baptist Health Medical
2605 Kentucky Ave
Group
Paducah, KY 42003
4330 Future City Rd
(502) 585-4802
Paducah, KY 42001
Fax: (502) 589-1256
(270) 538-4696
00 Yrs/99 Yrs
Fax: (270) 538-4397
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Richmond, Brittney
M-F 8:00 AM - 7:00 PM
APRN
Sat 8:00 AM - 6:00 PM
Provider ID: 1171483
Sun 11:00 AM - 5:00 PM
Gender: Female
Richmond, Brittney
Baptist Health Medical
APRN
Group
Provider ID: 1171483
2400 Washington St
Gender: Female
Paducah, KY 42003
Baptist Health Medical
(270) 444-5650
Group
Fax: (270) 538-4397
5130 Hinkleville Rd
00 Yrs/99 Yrs
Paducah, KY 42001
M-F 8:00 AM - 7:00 PM
(270) 450-1191
Sat 8:00 AM - 6:00 PM
Fax: (270) 450-1710
Sun 11:00 AM - 5:00 PM
00 Yrs/99 Yrs
Richmond, Brittney
M-F 8:00 AM - 7:00 PM
APRN
Sat 8:00 AM - 6:00 PM
Provider ID: 1171483
Sun 11:00 AM - 5:00 PM
Gender: Female
Richmond, Brittney
Baptist Health Medical
APRN
Group
Provider ID: 1171483
3220 Irvin Cobb Dr
Gender: Female
Paducah, KY 42003
Baptist Health Medical
(270) 450-1240
Group
Fax: (270) 450-1243
6530 New Hwy 60 N
00 Yrs/99 Yrs
West Paducah, KY 42086
M-F 8:00 AM - 7:00 PM
(270) 538-4298
Sat 8:00 AM - 6:00 PM
Fax: (270) 538-4299
Sun 11:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
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06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Smith, Patricia APRN
Provider ID: 618713
Sanders, Deidra APRN
Gender: Female
Provider ID: 618635
Merit Behavioral
Gender: Female
Associates
Family Allergy and
100 Fountain Ave Ste 205
Asthma
Paducah, KY 42001
2312 Kentucky Ave
(270) 251-3666
Paducah, KY 42003
Fax: (270) 251-3506
(270) 442-5151
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Snow, Keisha APRN
Norton Hospital
Provider ID: 1152058
M-F 8:30 AM - 5:00 PM
Gender: Female
Sasseen, Alison APRN
Mercy OB/GYN
Provider ID: 799988
1532 Lone Oak Rd Ste
Gender: Female
245
Baptist Health Medical
Paducah, KY 42003
Group
(270) 538-5700
100 Kiana Ct
Fax: (270) 538-5701
Paducah, KY 42001
00 Yrs/99 Yrs
(270) 554-0011
M-F 8:00 AM - 4:30 PM
Fax: (270) 554-6540
Snow, Shelby APRN
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 817761
Shircliff, Kristin APRN
Gender: Female
Provider ID: 1153254
Pediatric Group of
Gender: Female
Paducah
Baptist Health Medical
2605 Kentucky Ave
Group Inc
Doctors Bldg 3 Ste 501
2601 Kentucky Ave Ste
Paducah, KY 42001
301
(270) 443-7534
Paducah, KY 42003
Fax: (270) 442-0309
(270) 575-3113
00 Yrs/99 Yrs
Fax: (270) 575-3135
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stacy, Brandi APRN
Strickland, Christie
APRN
Provider ID: 781630
Provider ID: 627116
Gender: Female
Internal Medicine Group Gender: Female
Baptist Health Cancer
225 Medical Center Dr
Care and Bloo
Ste 101
100 Kiana Court
Paducah, KY 42003
Paducah, KY 42001
(270) 441-4357
(270) 554-0011
Fax: (270) 441-4132
Fax: (270) 554-6540
00 Yrs/99 Yrs
M-TH 8:00 AM - 8:00 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
FSat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Strickland, Christie
APRN
Stewart, Anna ARNP
Provider ID: 627116
Provider ID: 684417
Gender: Female
Gender: Female
Comprehensive Premeir Paducah Physiatric
Partners
Medical
1532 Lone Oak Rd Ste 150
4625 A Falcon Crest Dr
Paducah, KY 42003
Paducah, KY 42001
(270) 443-9352
(270) 441-0012
Fax: (270) 443-9013
Fax: (270) 538-5605
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Strickland, Christie
Story, Brittany APRN
APRN
Provider ID: 666712
Provider ID: 627116
Gender: Female
Internal Medicine Group Gender: Female
Paducah Physiatric
225 Medical Center Dr
Partners
Ste 201
5150 Village Square Dr
Paducah, KY 42003
Paducah, KY 42001
(270) 441-4200
(270) 415-9575
Fax: (270) 441-4249
Fax: (270) 415-9576
16 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Story, Jennifer APRN
Taber, Sandra APRN
Provider ID: 667452
Gender: Female
Provider ID: 643856
Cecil Clinic
Gender: Female
5158 Village Sq
Heartland Cares Inc
Paducah, KY 42001
619 N 30th St
(270) 575-1010
Paducah, KY 42001
Fax: (270) 575-1007
(270) 444-8183
00 Yrs/99 Yrs
Fax: (270) 444-8147
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 7:30 AM - 6:00 PM
www.wellcare.com/Kentucky | 116
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Wildharber, Cari APRN
Welsh, Deborah APRN
Provider ID: 790521
Gender: Female
Baptist Health Medical
Group Inc
2603 Kentucky Ave Ste
304
Paducah, KY 42003
(270) 415-4800
Fax: (270) 575-8359
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Whitaker, Linda APRN
Provider ID: 667294
Gender: Female
John Broadbent MD
225 Medical Center Dr
Ste 204
Paducah, KY 42003
(270) 441-4298
Fax: (270) 441-4243
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Provider ID: 751176
Gender: Female
Mercy Primary Care
Reidland
6035 Kentucky Dam Rd
Paducah, KY 42003
(270) 898-2444
Fax: (270) 898-4753
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Willis, Jennifer APRN
Provider ID: 700486
Gender: Female
Norton Mfm Specialists
2605 Kentucky Ave Bldg
3 Ste 102
Paducah, KY 42003
(270) 415-8965
Fax: (855) 855-4585
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Jamie APRN
Provider ID: 1052754
White, Lesley APRN
Gender: Female
Provider ID: 602338
Mercy Primary Care
Gender: Female
Paducah
Family Allergy & Asthma 1532 Lone Oak Rd Ste 150
2312 Kentucky Ave
Paducah, KY 42003
Paducah, KY 42003
(270) 538-5596
(270) 442-5151
Fax: (270) 538-5597
Fax: (502) 429-6157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
Wilson, Michelle APRN
Whitehead, Jaime APRN
Provider ID: 1158327
Gender: Female
Provider ID: 960928
Baptist Health Medical
Gender: Female
Group Inc
Ar Care
2400 Washington St
1901 Kentucky Ave
Paducah, KY 42003
Paducah, KY 42003
(270) 444-5650
(270) 575-3247
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wilson, Michelle APRN
Provider ID: 1158331
Gender: Female
Baptist Health Medical
Group Inc
3220 Irvin Cobb Dr
Paducah, KY 42003
(270) 450-1240
Fax: (270) 450-1243
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Michelle APRN
Provider ID: 1158333
Gender: Female
Baptist Health Medical
Group Inc
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Michelle APRN
Provider ID: 606197
Gender: Female
Baptist Health Medical
Group
2601 Kentucky Ave Ste
103
Paducah, KY 42003
(270) 415-4860
Fax: (270) 415-4862
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 117
Wilson, Michelle APRN
Provider ID: 627429
Gender: Female
Baptist Prime Care
Center
5158 Village Square Dr
Paducah, KY 42001
(270) 443-4311
Fax: (270) 443-4145
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Wood, Penny APRN
Provider ID: 667266
Gender: Female
Cardiology Associates of
Paducah
1532 Lone Oak Rd Ste 415
Paducah, KY 42003
(270) 442-0103
Fax: (270) 442-0109
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wortham, Christy ARNP
Provider ID: 713678
Gender: Female
Baptist Health Medical
Group
2501 Kentucky Ave
Paducah, KY 42003
(270) 415-4801
Fax: (270) 415-4816
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wyatt, Sheryl APRN
Provider ID: 614397
Gender: Female
Baptist Health Medical
Group
5130 Hinkleville Rd
Paducah, KY 42001
(270) 450-1191
Fax: (270) 450-1710
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Nurse Practitioner - cont. Woods, Tracy OT
Provider ID: 795874
Yates, Christy APRN
Gender: Female
Provider ID: 619518
Ulrf Neonatal Follow Up
Gender: Female
2605 Kentucky Ave Ste
Family Allergy and
102
Asthma
Paducah, KY 42003
2312 Kentucky Ave
(502) 852-7049
Paducah, KY 42003
Fax: (502) 852-0135
(270) 442-5151
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Wright, Wendell OT
Provider ID: 940268
Young, Tara APRN
Gender: Male
Provider ID: 647813
Orthopedic Institute of
Gender: Female
WK
Baptist Physicians
4787 Alben Barkley Dr
Lexington Inc
Paducah, KY 42003
5130 Hinkleville Rd
(270) 442-9461
Paducah, KY 42001
Fax: (270) 441-0079
(270) 450-1191
00 Yrs/99 Yrs
Fax: (270) 450-0710
M-F 8:00 AM - 5:00 PM
02 Yrs/99 Yrs
Physical Therapy
M-F 8:30 AM - 7:30 PM
Sat 8:30 AM - 6:30 PM
Baldwin, Patrick PT
Sun 11:30 AM - 6:30 PM
Provider ID: 781370
Occupational Therapy
Gender: Male
Premier Physical Therapy
Sturm, Amanda OT
203 Kentucky Ave
Provider ID: 969437
Kevil, KY 42053
Gender: Female
(270) 462-8252
Hampton Physical
Fax: (270) 462-8253
Therapy
00 Yrs/99 Yrs
5050 B Village Square Dr M-F 7:00 AM - 7:00 PM
Paducah, KY 42001
Sat 7:00 AM - 12:00 PM
(270) 443-0681
Fax: (270) 442-7948
Brewer, Jani PT
00 Yrs/99 Yrs
Provider ID: 1209391
M-F 8:00 AM - 5:00 PM
Gender: Female
Atlas Physical Therapy
LLC
5050 B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Caturano, Robert PT
Provider ID: 723966
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grizzard, Amy PT
Provider ID: 756483
Gender: Female
Hampton Physical
Therapy
5050B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Collins, Dana PT
Provider ID: 786006
Gender: Female
Hampton Physical
Therapy
5050B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Krueger, Bryan PT
Provider ID: 1209387
Gender: Male
Atlas Physical Therapy
LLC
5050 B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dolan, Lois PT
Provider ID: 656515
Gender: Female
Hampton Physical
Therapy
5050B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Laframboise, David PT
Dugan, Gordan PT
Provider ID: 708711
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 118
Provider ID: 1209389
Gender: Male
Atlas Physical Therapy
LLC
5050 B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Midkiff, Cory PT
Provider ID: 930278
Gender: Male
Orthopedic Institute of
WK
4787 Alben Barkley Dr
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McCracken
Physical Therapy - cont.
Webster, Krista PT
Brannon, Mark PA
Burch, Frank PA
Provider ID: 1019617
Provider ID: 627048
Provider ID: 601243
Pinerola, Jase PT
Gender: Female
Gender: Male
Gender: Male
Provider ID: 908810
Orthopedics Plus
West Kentucky
Orthopedic Institute of
Gender: Male
Physical Therapy
Hematology Oncology
WK
Orthopedics Plus
G
127 Alben Barkley Dr Ste
4787 Alben Barkley Rd
Physical Therapy
C
225 Medical Center Dr
Paducah, KY 42002
127 Alben Barkley Dr Ste Paducah, KY 42001
Ste 301
(270) 442-9461
C
Paducah, KY 42003
(270) 779-4945
Fax: (270) 441-0079
Paducah, KY 42001
(270) 441-4343
Fax: (270) 726-6674
00 Yrs/99 Yrs
(270) 779-4945
Fax: (270) 441-4344
00 Yrs/99 Yrs
Baptist Health Paducah
Fax: (270) 726-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM West, Tommy PT
Burch, Frank PA
Bromley, Stacy PA
Provider ID: 1019689
Provider ID: 601243
Roberts, Kara PT
Provider ID: 1078807
Gender: Male
Gender: Male
Provider ID: 1057933
Gender: Female
Lone Oak Chiropractic
Southern Orthopedic
Gender: Female
PSC
Mercy Primary Care Assoc SC DBA Or
Orthopedic Institute of
Paducah
125 Augusta Ave
3530 Lone Oak Rd Ste A
WK
1532 Lone Oak Rd Ste 150 Paducah, KY 42003
Paducah, KY 42003
4787 Alben Barkley Dr
Paducah, KY 42003
(270) 554-5114
(270) 442-9491
Paducah, KY 42002
(270) 538-5596
Fax: (270) 554-5021
Fax: (270) 554-8987
(270) 442-9461
Fax: (270) 538-5597
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Baptist Health Paducah
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
M-F 9:00 AM - 5:00 PM
Physician Assistant
M-F 8:00 AM - 5:00 PM
Brown, Benjamin PA
Carr, Jessica PA
Troutman, Adrianna PT Bailey, Tiffany PA
Provider ID: 934903
Provider ID: 623109
Provider ID: 934930
Provider ID: 627656
Gender: Male
Gender: Female
Gender: Female
Gender: Female
Orthopedic Institute of
Western Ky Cardiology
Orthopedic Institute of
Dr Butler Associates
W Ky
Consultants
W Ky
PLLC
4787 Alben Barkley Dr
2601 Kentucky Ave Dob 1
4787 Alben Barkley Rd
2603 Kentucky Ave Ste
Paducah, KY 42002
Ste 301
303
Paducah, KY 42002
(270) 442-9461
Paducah, KY 42003
Paducah, KY 42003
(270) 442-9461
Fax: (270) 441-0079
(270) 575-3113
(270) 443-2900
Fax: (270) 441-0079
00 Yrs/99 Yrs
Fax: (270) 575-3135
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
16 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Buford, Lisa PA
Provider ID: 1196870
Gender: Female
Lps Mercy Neurology
4645 Village Square Dr
Ste A
Paducah, KY 42001
(270) 575-9990
Fax: (270) 575-9950
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
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Allied Providers
McCracken
Physician Assistant - cont. Dunning, April PA
Provider ID: 599531
Carr, Jessica PA
Gender: Female
Provider ID: 639562
Mercy Pediatrics
Gender: Female
548 Lone Oak Rd
Baptist Health Medical
Paducah, KY 42003
Group
(270) 442-6161
2601 Kentucky Ave Ste
Fax: (270) 442-6294
301
00 Yrs/99 Yrs
Paducah, KY 42003
M-F 8:00 AM - 5:00 PM
(270) 575-3113
Fax: (570) 575-3135
Frizzell, Jessica PA
00 Yrs/99 Yrs
Provider ID: 724040
M-F 8:00 AM - 5:00 PM
Gender: Female
Mercy Pediatrics
Crowley, Rachel PA
1532 Lone Oak Rd Ste
Provider ID: 623118
345
Gender: Female
Paducah, KY 42003
Western Ky Cardiology
(270) 442-6161
Consultants
Fax: (270) 441-4132
2601 Kentucky Ave Dob 1 00 Yrs/99 Yrs
Ste 301
M-F 8:00 AM - 4:00 PM
Paducah, KY 42003
(270) 575-3113
Fax: (270) 575-3135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dickman, Adam PA
Provider ID: 1128869
Gender: Male
Baptist Health Medical
Group Inc
2605 Kentucky Ave Ste
601
Paducah, KY 42003
(270) 408-4368
Fax: (270) 408-3272
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Garrett, Melinda PA
Provider ID: 611668
Gender: Female
Paducah Dermatology
PLLC
2601 Kentucky Ave Ste
402
Paducah, KY 42003
(270) 444-8477
Fax: (270) 444-9291
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hodges, Christopher PA
Provider ID: 1130486
Gender: Male
Baptist Health Medical
Group Inc
2603 Kentucky Ave Ste
304
Paducah, KY 42003
(270) 415-7724
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hodges, Christopher PA
Provider ID: 667156
Gender: Male
Orthopedic Institute of
WK
2605 Kentucky Ave Bldg
3 Ste 103
Paducah, KY 42003
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hodges, Christopher PA
Provider ID: 667156
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hughes, Matthew PA
Provider ID: 667311
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hughes, Matthew PA
Provider ID: 667311
Gender: Male
Southern Orthopedic
Assoc SC DBA Or
2605 Kentucky Ave Bldg
3 Ste 103
Paducah, KY 42003
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 120
Hutchins, Bradley PA
Provider ID: 755395
Gender: Male
Orthopedic Institute of
W Ky
4787 Alben Barkley Dr
Paducah, KY 42001
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Kelly PA
Provider ID: 758553
Gender: Female
Southern Orthopedic
Assoc SC DBA Or
4787 Alben Barkley Rd
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnston, Brian PA
Provider ID: 712901
Gender: Male
Mercy Emergency
Medicine Specialist
1530 Lone Oak Rd
Paducah, KY 42003
(270) 442-9463
Fax: (270) 442-2241
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnston, Brian PA
Provider ID: 712901
Gender: Male
Urology Group of
Paducah PSC
2603 Kentucky Ave Ste
102
Paducah, KY 42003
(270) 442-3539
Fax: (270) 442-2051
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
06/01/2016
Allied Providers
McCracken
Physician Assistant - cont. Lopez, Emily PA
Provider ID: 1196925
Kirchner, Benjamin PA
Gender: Female
Provider ID: 934910
Mercy Inpatient
Gender: Male
Medicine Specialist
Orthopedic Institute of
1530 Lone Oak Rd
W Ky
Paducah, KY 42003
4787 Alben Barkley Dr
(270) 444-2394
Paducah, KY 42002
Fax: (270) 444-2972
(270) 442-9461
00 Yrs/99 Yrs
Fax: (270) 441-0079
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Parrott, Celia PA
Provider ID: 691973
Kuhlmann, Jill PA
Gender: Female
Provider ID: 892574
Mercy General Hospital
Gender: Female
1532 Lone Oak Rd Ste
Mercy Emergency
235
Medicine Specialist
Paducah, KY 42003
1530 Lone Oak Rd
(270) 442-9463
Paducah, KY 42003
Fax: (270) 442-2241
(270) 444-2845
00 Yrs/99 Yrs
Fax: (270) 444-2481
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Porter, Josh PA
MTWTHFSatSun 12:00
AM - 11:30 PM
Provider ID: 667300
Gender: Male
Legereit, Penny PA
Orthopedic Institute of
Provider ID: 667168
W Ky
Gender: Female
4787 Alben Barkley Rd
Mercy Vascular
Paducah, KY 42002
Specialists
(270) 442-9461
1532 Lone Oak Rd Ste
Fax: (270) 441-0079
405
00 Yrs/99 Yrs
Paducah, KY 42003
M-F 8:00 AM - 5:00 PM
(270) 441-4300
Fax: (270) 441-4925
Thurston, Timothy PA
00 Yrs/99 Yrs
Provider ID: 667176
M-F 8:00 AM - 5:00 PM
Gender: Male
Mercy General Surgery
1532 Lone Oak Rd Ste
230
Paducah, KY 42003
(270) 442-9463
Fax: (270) 442-2241
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Turnley, Marcus PA
Provider ID: 667178
Gender: Male
Mercy General Surgery
1532 Lone Oak Rd Ste
235
Paducah, KY 42003
(270) 442-9463
Fax: (270) 442-2241
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ward, Jeffrey PA
Provider ID: 649873
Gender: Male
Dr Butler & Associates
2603 Kentucky Ave Ste
303
Paducah, KY 42003
(270) 443-2900
Fax: (270) 443-7122
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Brittany PA
Provider ID: 1143067
Gender: Female
Orthopedic Institute of
WK
4787 Alben Barkley Dr
Paducah, KY 42002
(270) 442-9461
Fax: (270) 441-0079
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Speech Therapy
Clark, Clare SLP
Provider ID: 1024870
Gender: Female
Hampton Physical
Therapy
5050B Village Square Dr
Paducah, KY 42001
(270) 443-0681
Fax: (270) 442-7948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 121
06/01/2016
Pharmacy
Ballard
Retail
Sutton Drugs of LA
Center
Provider ID:
TPV1871618975-0
234 Broadway
Lacenter, KY 42056
(270) 665-5192
Fax: (270) 665-9296
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
Wickliffe Pharmacy Inc
Provider ID:
TPV1295749794-0
409 Court St
Wickliffe, KY 42087
(270) 335-3172
Fax: (270) 335-3339
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 122
06/01/2016
Pharmacy
Caldwell
Retail
CVS
Provider ID:
TPV1386747038-0
1021 W Main St
Princeton, KY 42445
(270) 365-4568
Fax: (270) 365-6292
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Princeton Drug Inc
Provider ID:
TPV1639273691-0
103 W Main St
Princeton, KY 42445
(270) 365-5585
Fax: (270) 365-0559
00 Yrs/99 Yrs
MTTHF 9:00 AM - 5:00
PM
W 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
Walmart Pharmacy
Provider ID:
TPV1992722219-0
1500 US Hwy 62 W
Princeton, KY 42445
(270) 365-9122
Fax: (270) 365-0241
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 123
06/01/2016
Pharmacy
Calloway
Retail
CVS
Provider ID:
TPV1235233180-0
100 N 12th St
Murray, KY 42071
(270) 753-2044
Fax: (270) 753-2717
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Murray Calloway Co
Hospital RX
Provider ID:
TPV1073504981-0
803 Poplar St
Murray, KY 42071
(270) 762-1394
Fax: (270) 767-3612
00 Yrs/99 Yrs
MTWTHFSatSun 7:00
AM - 11:00 PM
Express Pharmacy
Provider ID:
TPV1346234077-0
2800 Radio Rd
Almo, KY 42020
(270) 753-3634
Fax: (270) 753-3652
00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
RITE AID
Provider ID:
TPV1407965981-0
1200 Main St
Murray, KY 42071
(270) 753-8304
Fax: (270) 753-5203
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
Kroger
Provider ID:
TPV1083648802-0
808 N 12th St
Murray, KY 42071
(270) 759-1288
Fax: (270) 759-1310
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Walgreens
Provider ID:
TPV1033124284-0
Walgreens
1205 Main St
Murray, KY 42071
(270) 762-8991
Fax: (270) 762-9066
00 Yrs/99 Yrs
Medical Arts Pharmacy
Provider ID:
TPV1497852230-0
300 S 8th St
Murray, KY 42071
(270) 753-2011
Fax: (270) 753-1844
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
Walters Family Pharmacy
Provider ID:
TPV1073670352-0
604 S 12th St
Murray, KY 42071
(270) 753-7688
Fax: (270) 753-6782
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Walmart Pharmacy
Provider ID:
TPV1548287964-0
809 N 12th St
Murray, KY 42071
(270) 753-0287
Fax: (270) 753-0282
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 124
06/01/2016
Pharmacy
Carlisle
Retail
Bardwell Pharmacy
Provider ID:
TPV1205858206-0
178 US Hwy 51N
Bardwell, KY 42023
(270) 628-5445
Fax: (270) 628-3179
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bardwell Pharmacy
Provider ID:
TPV1720468689-0
178 US Hwy 51 N
Bardwell, KY 42023
(270) 628-5445
Fax: (270) 628-3179
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Medcare Pharmacy and
Home Medical
Provider ID:
TPV1992711519-0
Hwy US 51
Arlington, KY 42021
(270) 655-6151
Fax: (270) 655-7022
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 125
06/01/2016
Pharmacy
Crittenden
Retail
CVS
Provider ID:
TPV1912000662-0
307 Sturgis Rd
Marion, KY 42064
(270) 965-4114
Fax: (270) 965-3764
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Glenns Apothecary
Provider ID:
TPV1437182904-0
520 W Gum St
Marion, KY 42064
(270) 965-4101
Fax: (270) 965-9957
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kb Pharmacy
Provider ID:
TPV1023398443-0
320 S Main St
Marion, KY 42064
(270) 967-9007
Fax: (270) 967-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
www.wellcare.com/Kentucky | 126
06/01/2016
Pharmacy
Fulton
Retail
Evans Drug Company
Provider ID:
TPV1356434930-0
212 Lake St
Fulton, KY 42041
(270) 472-2421
Fax: (270) 472-0103
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
Medcare Pharmacy
Home Medical
Provider ID:
TPV1649591108-0
2009 S 7th St
Hickman, KY 42050
(270) 236-2588
Fax: (270) 236-9162
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Walmart Pharmacy
Provider ID:
TPV1265459598-0
1405 Middle Rd
Fulton, KY 42041
(270) 472-9802
Fax: (270) 472-9811
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 127
06/01/2016
Pharmacy
Graves
Retail
Apothecary Shoppe Inc
Provider ID:
TPV1922011444-0
1520 Cuba Rd
Mayfield, KY 42066
(270) 247-3111
Fax: (270) 247-2005
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 2:00 PM
CVS
Provider ID:
TPV1386747020-0
100 S 6th St
Mayfield, KY 42066
(270) 247-4073
Fax: (270) 251-9656
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Duncan Clinic Pharmacy
Provider ID:
TPV1336284421-0
1111 Medical Center Cir
Mayfield, KY 42066
(270) 247-7000
Fax: (270) 247-6033
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Duncan Prescription
Center
Provider ID:
TPV1316982010-0
315 W Broadway St
Mayfield, KY 42066
(270) 247-3345
Fax: (270) 247-1344
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 2:00 PM
Gibson Pharmacy
Provider ID:
TPV1861599607-0
715 E Broadway St
Mayfield, KY 42066
(270) 247-7300
Fax: (270) 247-6945
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 5:00 PM
Stones Health Mart
Pharmacy
Provider ID:
TPV1750376588-0
414 S 9th St
Mayfield, KY 42066
(270) 247-3232
Fax: (270) 247-4285
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 2:00 PM
Walgreens
Provider ID:
TPV1831323914-0
Walgreens
635 S 6th St
Mayfield, KY 42066
(270) 247-2272
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 10:00 PM
Sun 10:00 AM - 6:00 PM
Walmart Pharmacy
Provider ID:
TPV1902823222-0
1225 Paris Rd
Mayfield, KY 42066
(270) 247-2280
Fax: (270) 247-2559
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 128
06/01/2016
Pharmacy
Hickman
Retail
Byassee Drug Company
Provider ID:
TPV1932131356-0
107 E Clay St
Clinton, KY 42031
(270) 653-2151
Fax: (270) 653-2004
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perkins Pharmacy
Provider ID:
TPV1275617755-0
119 E Clay St
Clinton, KY 42031
(270) 653-5361
Fax: (270) 653-5511
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
www.wellcare.com/Kentucky | 129
06/01/2016
Pharmacy
Livingston
Retail
Clinic Pharmacy
Provider ID:
TPV1669566170-0
141 Hospital Dr
Salem, KY 42078
(270) 988-3230
Fax: (270) 988-4230
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Glenns Prescription
Center
Provider ID:
TPV1922031483-0
119 E Main
Salem, KY 42078
(270) 988-3226
Fax: (270) 988-4357
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Smithland Drugs
Provider ID:
TPV1629117403-0
203 E Adair St
Smithland, KY 42081
(270) 928-2552
Fax: (270) 928-2293
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
www.wellcare.com/Kentucky | 130
06/01/2016
Pharmacy
Lyon
Retail
Lyon Drug Store
Provider ID:
TPV1942257720-0
201 Main St
Eddyville, KY 42038
(270) 388-2236
Fax: (270) 388-0978
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
McConnell Health Mart
Pharmacy
Provider ID:
TPV1679553325-0
86 Cedar St
Kuttawa, KY 42055
(270) 388-7371
Fax: (270) 388-5675
00 Yrs/99 Yrs
MF 9:00 AM - 6:00 PM
TWTH 9:00 AM - 5:00
PM
www.wellcare.com/Kentucky | 131
06/01/2016
Pharmacy
Marshall
Retail
Benton Discount
Pharmacy
Provider ID:
TPV1205963691-0
2602 Main St
Benton, KY 42025
(270) 527-1409
Fax: (270) 527-2801
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM
Calvert City Pharmacy
Provider ID:
TPV1124047519-0
888 E 5th Ave
Calvert City, KY 42029
(270) 395-4350
Fax: (270) 395-5128
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
J R Pharmacy
Provider ID:
TPV1417067729-0
817 Main St
Benton, KY 42025
(270) 527-9374
Fax: (270) 527-3152
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
Sun 9:00 AM - 10:00 PM
Walmart Pharmacy
Provider ID:
TPV1437176757-0
310 W 5th St
Benton, KY 42025
(270) 527-3597
Fax: (270) 527-9125
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
CVS
Provider ID:
TPV1861740615-0
405 Main St
Benton, KY 42025
(270) 527-8636
Fax: (270) 527-8637
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Draffenville Pharmacy
Provider ID:
TPV1659389864-0
153 US Hwy 68 E
Benton, KY 42025
(270) 527-1404
Fax: (270) 527-1925
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM
www.wellcare.com/Kentucky | 132
06/01/2016
Pharmacy
McCracken
Retail
CVS
Provider ID:
TPV1053415901-0
3001 Lone Oak Rd
Paducah, KY 42003
(270) 554-0480
Fax: (270) 554-2153
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
CVS
Provider ID:
TPV1467555821-0
3275 Irvin Cobb Dr
Paducah, KY 42003
(270) 443-4885
Fax: (270) 443-0389
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
CVS
Provider ID:
TPV1841393584-0
538 Lone Oak Rd
Paducah, KY 42003
(270) 443-8855
Fax: (270) 443-4427
00 Yrs/99 Yrs
Davis Drugs
Provider ID:
TPV1134190762-0
250 Lone Oak Rd
Paducah, KY 42001
(270) 443-1442
Fax: (270) 444-0610
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 5:00 PM
Davis Drugs Lone Oak
Provider ID:
TPV1174595003-0
2855 Lone Oak Rd
Paducah, KY 42003
(270) 554-5099
Fax: (270) 554-5089
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
Four Rivers Pharmacy
Provider ID:
TPV1992710511-0
415 Broadway St
Paducah, KY 42001
(270) 408-4799
Fax: (270) 408-4789
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
G O Pharmacy
Provider ID:
TPV1538297858-0
2338 Broadway St
Paducah, KY 42001
(270) 442-3571
Fax: (270) 442-3197
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 4:00 PM
Kentuckycare Pharmacy
62
Provider ID:
TPV1174955967-0
1901 Kentucky Ave
Paducah, KY 42003
(870) 347-2534
Fax: (870) 347-3492
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
KMART
Provider ID:
TPV1386675353-0
2440 Lone Oak Rd
Paducah, KY 42003
(270) 554-9600
Fax: (270) 554-8127
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 5:00 PM
Sun 10:00 AM - 4:00 PM
Paducah Pharmacy
Provider ID:
TPV1710919220-0
225 Medical Center Dr
Ste 100
Paducah, KY 42003
(270) 441-4390
Fax: (270) 441-4393
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Kroger
Provider ID:
TPV1578597399-0
3141 Park Ave
Paducah, KY 42001
(270) 443-9459
Fax: (270) 443-9465
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Reidland Pharmacy, Inc
Lone Oak Pharmacy
Provider ID:
TPV1952319162-0
3535 Lone Oak Rd
Paducah, KY 42001
(270) 554-7944
Fax: (270) 554-4006
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
Ricks Pharmacy
Provider ID:
TPV1376544957-0
2700 HC Mathis Dr
Paducah, KY 42001
(270) 444-2022
Fax: (270) 444-9758
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Provider ID:
TPV1174539746-0
5433 Reidland Rd
Paducah, KY 42003
(270) 898-7313
Fax: (270) 898-1999
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 1:00 PM
Ricks Pharmacy Inc
Provider ID:
Nps Pharmacy
TPV1891792057-0
Provider ID:
3001 Schneidman Rd
TPV1982961801-0
Paducah, KY 42003
619 N 30th St
(270) 443-7200
Paducah, KY 42001
Fax: (270) 443-8537
(270) 933-1960
00 Yrs/99 Yrs
Fax: (270) 933-1963
Languages: Spanish
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Languages: Spanish
M-TH 8:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
F 8:00 AM - 12:00 PM
www.wellcare.com/Kentucky | 133
06/01/2016
Pharmacy
McCracken
Retail - cont.
Walgreens
Provider ID:
SAMS CLUB
TPV1861407017-0
Provider ID:
Walgreens
TPV1063439396-0
521 Lone Oak Rd
3550 James Sanders Blvd Paducah, KY 42003
Paducah, KY 42001
(270) 442-6659
(270) 444-6992
Fax: (270) 442-8982
Fax: (270) 444-6997
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM Walmart Pharmacy
Provider ID:
Sat 9:00 AM - 7:00 PM
TPV1093732414-0
Sun 10:00 AM - 6:00 PM
3220 Irvin Cobb Dr
Strawberry Hills
Paducah, KY 42003
Pharmacy
(270) 442-6404
Provider ID:
Fax: (270) 442-0743
TPV1932426020-0
00 Yrs/99 Yrs
2700 New Holt Rd Ste D M-F 8:00 AM - 9:00 PM
Paducah, KY 42001
Sat 9:00 AM - 7:00 PM
(270) 444-7070
Sun 10:00 AM - 6:00 PM
Fax: (270) 444-7970
00 Yrs/99 Yrs
Walmart Pharmacy
M-F 8:00 AM - 6:00 PM
Provider ID:
TPV1285651604-0
Sat 9:00 AM - 3:00 PM
5130 Hinkleville Rd
Walgreens
Paducah, KY 42001
Provider ID:
(270) 444-0046
TPV1457637183-0
Fax: (270) 443-8409
Walgreens Infusion
00 Yrs/99 Yrs
Pharmacy
M-F 8:00 AM - 9:00 PM
3487 Park Ave
Sat 9:00 AM - 7:00 PM
Paducah, KY 42001
Sun 10:00 AM - 6:00 PM
(800) 511-0063
Fax: (270) 415-9433
West Towne Pharmacy
00 Yrs/99 Yrs
Provider ID:
TPV1316940885-0
Walgreens
2755 W Park Dr
Provider ID:
Paducah, KY 42001
TPV1518973072-0
(270) 443-0909
Walgreens
Fax: (270) 443-5544
3360 Irvin Cobb Dr
00 Yrs/99 Yrs
Paducah, KY 42003
M-F 9:00 AM - 5:00 PM
(270) 444-8011
Fax: (270) 444-6745
00 Yrs/99 Yrs
M-F 8:00 AM - 10:00 PM
Sat 9:00 AM - 6:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 134
Alternate Languages Index
You can find a provider who speaks a different language in this index. First look for the language you need.
Then check the specialty and provider name.
Afrikaans
Punjabi
Wickliffe Pharmacy Inc
Family Practice
Spilkin, Simon MD
Nephrology
Ali, Shaukat MD
Thoracic & Cardiovascular Surgery
Lopez, Nicholas MD
American Sign Language
Spanish
Tagalog
Internal Medicine
Lebuhn, Polly MD
Long, James MD
Pittard, Joseph MD
Smith, Richard MD
Wallace, Jesse MD
Allergy & Immunology
Lotz, Douglas MD
Hematology & Oncology
Gould, James MD
Family Practice
Rey, Jonathan MD
Medical Oncology
Chua, Winston MD
Hematology & Oncology
Gould, James MD
Urdu
Nephrology
McCullough, Steven DO
Chinese
Maternal Fetal Medicine
How, Helen MD
Medical Oncology
Chua, Winston MD
Faroese
Hematology & Oncology
Ahmadi, Mehdi MD
French
Nurse Practitioner
Bilak, Paul APRN
Obstetrics/Gynecology
Deeter, Dawn MD
German
Internal Medicine
Long, James MD
Smith, Richard MD
Wallace, Jesse MD
Nurse Practitioner
Bilak, Paul APRN
Licensed Clinical Social Worker
Sherrill, Kimberly LCSW
Nephrology
Ali, Shaukat MD
Nurse Practitioner
Freeman, Sherry APRN
Lovett, Jessica APRN
Tynes, Yolanda APRN
White, Saundra APRN
Obstetrics/Gynecology
Deeter, Dawn MD
Green, Thomas MD
Orthopaedic Surgery
Patel, Shiraz MD
Stodghill, Burton MD
Pediatric Dentistry
Largent, Beverly DMD
Pediatrics
Lotz, Douglas MD
Retail
Apothecary Shoppe Inc
Duncan Prescription Center
Kentuckycare Pharmacy 62
Nps Pharmacy
Ricks Pharmacy Inc
www.wellcare.com/Kentucky | 135
Cardiac Electrophysiology
Akram, Muhammad MD
Cardiovascular Surgery
Akram, Muhammad MD
Nephrology
Ali, Shaukat MD
Specialty Provider At-A-Glance
You can find a specific kind of provider in this index. First look for the type of care you need. Then check the
county and page number. You can go to that page to get the provider's information.
A
Clinic
McCracken
Allergy & Immunology
Crittenden
McCracken
28
38, 39 Community Health Center
Ballard
Ambulatory Surgery Center
Crittenden
McCracken
89 McCracken
Audiology
Calloway
94
B
Behavioral Health Counseling
Ballard
Caldwell
Carlisle
Graves
McCracken
68
69
72
73
75
C
Cardiac Electrophysiology
McCracken
39
Graves
Marshall
89
McCracken
Endocrinology, Diabetes,
79 Metabolism
82 Calloway
89 McCracken
Community Mental Health Center Epsdt Special Services
Calloway
71 Caldwell
Graves
73 McCracken
McCracken
75
F
Critical Access Hospital
Caldwell
61 Family Planning
Livingston
65 Calloway
Marshall
66 Crittenden
Graves
D
Hickman
Livingston
Dermatology
Marshall
35 Lyon
McCracken
41 Marshall
30
35
41
20
41
80
90
81
82
84
85
86
87
88
Family Practice
Dialysis
1, 92
89 Ballard
18 McCracken
Caldwell
2
20 Durable Medical Equipment
Calloway
3
30 Caldwell
80 Carlisle
5, 97
39, 40, 107 Calloway
81 Crittenden
6
Crittenden
82 Fulton
7
Cardiovascular Surgery
Fulton
83
Graves
8
McCracken
40
Graves
84 Hickman
9
Children With Special Health Care Livingston
86 Livingston
10
Needs
Lyon
87 Lyon
11
McCracken
107 Marshall
88 Marshall
12
McCracken
89, 90 McCracken
Chiropractic
14, 107
Caldwell
18 E
Federally Qualified Health Center
Calloway
20
Ballard
1
Graves
30 Ear, Nose & Throat
Caldwell
80
18
Lyon
34 Caldwell
Marshall
12
Calloway
20
Marshall
35
McCracken
14
28
McCracken
40, 41 Crittenden
Cardiology
Caldwell
Calloway
Graves
McCracken
www.wellcare.com/Kentucky | 136
Specialty Provider At-A-Glance
G
Gastroenterology
Calloway
Graves
Marshall
McCracken
General Dentistry
Caldwell
Calloway
Carlisle
Graves
Lyon
Marshall
McCracken
General Practice
Crittenden
Fulton
Livingston
Lyon
Marshall
General Surgery
Caldwell
Calloway
Crittenden
Fulton
Graves
Livingston
Marshall
McCracken
Geriatric Medicine
Fulton
Gynecology
Crittenden
H
Home Health Care
Calloway
20 Fulton
30 Graves
35 McCracken
41, 42
Hospice
Calloway
18 McCracken
20
27 Hospital
30, 31 Calloway
34 Crittenden
35 Graves
42, 43 McCracken
Hyperbaric Medicine
6 McCracken
7 I
10
11 Infectious Disease
12 McCracken
Infusion Therapy
18 McCracken
21
28
29
31
33
35
43
Internal Medicine
Ballard
Caldwell
Calloway
Crittenden
Fulton
Graves
Hickman
29 Livingston
Lyon
Marshall
28 McCracken
Licensed Marriage and Family
81 Therapist
69
83 Caldwell
McCracken
76
84
90 Licensed Professional Counselor
Ballard
81 Caldwell
90 Graves
McCracken
62
63
64
67
68
70
73, 74
76
M
Maternal Fetal Medicine
Calloway
McCracken
Medical Oncology
44 Caldwell
McCracken
21
45
18
45
N
44 Neonatal Perinatal Medicine
McCracken
90 Nephrology
Caldwell
1 Calloway
2 Graves
3, 4 McCracken
6 Neurology
7 Calloway
8 Livingston
9 McCracken
10
11 Neuromuscular Medicine
12, 13 Fulton
15, 16 Neurosurgery
McCracken
L
Nuclear Radiology
78 Fulton
Graves
Hematology
Marshall
Laboratory Pathology Testing
36 All
Hematology & Oncology
Calloway
Crittenden
Graves
Livingston
Marshall
McCracken
Licensed Clinical Social Worker
21 Caldwell
69 Nurse Midwife
28 Graves
73 Graves
31 McCracken
75, 76 Nurse Practitioner
33
Ballard
36
Caldwell
44
www.wellcare.com/Kentucky | 137
45
18
21
31
45
21
33
45, 46
99
46, 47
29
31
100
92
93
Specialty Provider At-A-Glance
N - cont.
Orthodontics
Nurse Practitioner - cont.
Graves
Calloway
94, 95 McCracken
Carlisle
97
Crittenden
98 Orthopaedic Surgery
Fulton
99 Caldwell
Graves
100, 101 Calloway
Livingston
102 Fulton
Lyon
103 Graves
Marshall
104, 105 Marshall
McCracken
McCracken
107, 108, 109, 110, 111, 112, 113, 114, 115,
116, 117, 118
Orthotics & Prosthetics
McCracken
O
P
Obstetrics
McCracken
Pain Management
47 McCracken
Obstetrics/Gynecology
Calloway
Graves
Marshall
McCracken
Occupational Therapy
Calloway
Carlisle
Marshall
McCracken
Pediatric Cardiology
21, 22 Calloway
31 McCracken
36
16, 47, 48 Pediatric Dentistry
McCracken
Ophthalmology
Calloway
Crittenden
Graves
McCracken
96
97
105
90, 118
22
28
31
48, 49
Optician
McCracken
49
Optometry
Caldwell
Calloway
Crittenden
Graves
Marshall
McCracken
18
22
28
32
36
49, 50, 51, 52, 53, 54
Oral & Maxillofacial Surgery
Calloway
McCracken
22
54
32
55
Physician Assistant
Ballard
Caldwell
Calloway
Crittenden
Graves
Livingston
Marshall
McCracken
19
23, 24
29
32
36
55, 56 Podiatry
Calloway
Graves
90
Marshall
McCracken
Psychiatry
56 Calloway
McCracken
24, 25 Psychology
56, 57 Caldwell
Calloway
McCracken
90, 91
Pulmonary Disease
Pediatric Gastroenterology
Calloway
Fulton
29
Graves
Pediatrics
Marshall
Caldwell
2 McCracken
Calloway
4, 25
R
Fulton
7
Graves
8 Radiation Oncology
Marshall
13 McCracken
McCracken
16, 17, 57, 58
Retail
Pediatrics Behavioral and
Ballard
Developmental
Caldwell
McCracken
77 Calloway
Physical Medicine & Rehabilitation Carlisle
Calloway
25 Crittenden
McCracken
58, 59 Fulton
Graves
Physical Therapy
Hickman
Calloway
96 Livingston
Carlisle
97 Lyon
Graves
101 Marshall
Marshall
105, 106 McCracken
McCracken
118, 119
www.wellcare.com/Kentucky | 138
92
93
96
98
101
102
106
119, 120, 121
25, 26
32
37
59
71
77
70
71
77
26
32
37
59
59
122
123
124
125
126
127
128
129
130
131
132
133, 134
Specialty Provider At-A-Glance
R - cont.
Rural Health Center
Crittenden
Graves
Livingston
6, 82
84
86
S
Speech Therapy
Carlisle
Marshall
McCracken
97
106
121
Sports Medicine
Caldwell
Graves
Marshall
19
32
37
T
Thoracic & Cardiovascular Surgery
McCracken
59, 60
U
Urology
Caldwell
Calloway
Graves
Marshall
McCracken
19
26
32
37
60
V
Vascular Surgery
McCracken
60
www.wellcare.com/Kentucky | 139
Extended Hours Index
You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check
the county and page number. You can go to that page to get the provider’s office hours.
Ballard
Hospital
Retail
Licensed Professional Counselor
Murray Calloway County Hospital Kb Pharmacy
126
Sloan, Pamela LPC
68
62
Fulton
Retail
Internal Medicine
General Practice
Sutton Drugs of LA Center
122 Fisher, Valerie MD
3
Malik, Indu MD
7
Caldwell
Nurse Practitioner
Home Health Care
Alexander, Dana APRN
94
Chiropractic
Lifeline Home Health Care of
94
Mathis, Justin DC
18 Bazzell, Erica APRN
Fulton
83
94
Rushing, James DC
18 Darnell, Rhonda APRN
Jones, Catherine APRN
95 Neuromuscular Medicine
Family Practice
Ryan, Martha APRN
95 Alexander Lusk, Allie APRN
99
Perry, Jami MD
2 Sprunger Canella, Maria CNM 95
Retail
Internal Medicine
Optometry
Evans Drug Company
127
Littlejohn, Charles MD
2 Adams, Kevin OD
22 Walmart Pharmacy
127
Hall,
Benjamin
OD
22
Licensed Marriage and Family
Graves
Williams, Jesse OD
22
Therapist
Durable Medical Equipment
McMican, William LMFT
69 Pediatrics
Duncan Prescription Center
84
Cates, Heath MD
4
Optometry
Gibsons Pharmacy Homecare
84
Parker, Sarah OD
18 Retail
Family Practice
Talley, Daniel OD
18 Express Pharmacy
124
Braxton, Thomas MD
8
Kroger
124
Pediatrics
124 Hospital
Littlejohn, Charles MD
2 Medical Arts Pharmacy
Murray Calloway Co Hospital RX
Jackson Purchase Medical Center
Retail
124
64
Princeton Drug Inc
123 RITE AID
124
Licensed Clinical Social Worker
Walmart Pharmacy
123 Walgreens
124
Kyle, Mary LCSW
73
Calloway
Crittenden
Peek-Fisk, Rolanda LCSW
73
Shanahan, Tammy LCSW
73
Chiropractic
Durable Medical Equipment
Smith,
Mina
LCSW
73
Heskett, Dennis DC
20 Glenns Apothecary
82
Nurse Practitioner
Durable Medical Equipment
Hospital
Bazzell, Andrea APRN
100
Pharmacy Inc
81 Crittenden County Hospital
63
Smith, Patricia APRN
100
Family Practice
Nurse Practitioner
Ophthalmology
Crouch, Richard MD
3 Armbruster, Teresa APRN
98
Williams, Johnny MD
31
Ford, Alison MD
3
www.wellcare.com/Kentucky | 140
Extended Hours Index
Graves - cont.
Optometry
Sheridan, Donise OD
Retail
Apothecary Shoppe Inc
Duncan Prescription Center
Gibson Pharmacy
Stones Health Mart Pharmacy
Walgreens
Walmart Pharmacy
Sports Medicine
Braxton, Thomas MD
32
128
128
128
128
128
128
32
Hickman
Family Practice
Smith, Bruce MD
9
Retail
Perkins Pharmacy
129
Livingston
Critical Access Hospital
Livingston Hospital & Healthca 65
Durable Medical Equipment
Clinic Pharmacy of Ky
Glenns Prescription Center
Smithland Pharmacy Inc
86
86
86
General Surgery
Patton, Demetrius MD
33
McConnell Health Mart Pharmacy Medcare Medical Supply
89
131 Pennyrile Home Medical
90
Ricks Pharmacy Inc
90
Marshall
Epsdt Special Services
Chiropractic
Corner Homecare
90
Snodgrass, Derek DC
35
Travis, Michael DC
35 General Dentistry
Bohle, Charles DDS
42
Critical Access Hospital
Mahan, Jonathan DMD
42
Marshall County Hospital
66
Newby, Brent DDS
42
Durable Medical Equipment
Hospital
Western Kentucky Home Medical
Baptist Health Paducah
67
Equipment
88
Lourdes Hospital Inc
67
Family Practice
Internal Medicine
Runciman, Kenneth MD
12
Fischer, Mae MD
15
Nurse Practitioner
Licensed Clinical Social Worker
Darnell, Rhonda APRN
104
Davis, Mary LCSW
75
Lovett, Jessica APRN
105
Reside, Cecelia LCSW
76
Obstetrics/Gynecology
Smith, Mina LCSW
76
Mueller, Susan MD
36
Licensed Professional Counselor
Optometry
Birch, Corey LPC
76
Ellis, Joe OD
36 Crisp, Hollie LPC
76
Englert, Kathryn LPC
76
Retail
Evans, Kerry LPC
76
Benton Discount Pharmacy
132
Rasnake, Robert LPC
76
Calvert City Pharmacy
132
Richardson, Whitney LPC
76
Draffenville Pharmacy
132
J R Pharmacy
132 Neonatal Perinatal Medicine
Walmart Pharmacy
132 Sanders, Lynda MD
45
Retail
Clinic Pharmacy
Smithland Drugs
Sports Medicine
130 Bohannon, Todd MD
130 McCracken
Lyon
Chiropractic
Hinson, William DC
40
Schipp,
Heath
DC
40
87
Snodgrass, Derek DC
40
Winters, Michael DC
41
11
Dialysis
RCG Paducah South
89
34
Durable Medical Equipment
Corner Homecare
89
131 Hanger Prosthetics & Orthotics Inc
89
Durable Medical Equipment
McConnell Drug Inc
Family Practice
French, David MD
General Dentistry
Sims, John DMD
Retail
Lyon Drug Store
37
www.wellcare.com/Kentucky | 141
Nurse Practitioner
Armbruster, Teresa APRN
Buckhalter, Brandy APRN
Buckley, Christina APRN
Chapman, Melanie APRN
Davis, Jacqueline APRN
Friedrich, Kristie APRN
Gott, Melissa APRN
Hodges, Sharon APRN
Hovell, Lucretia ARNP
Lane, Natasha APRN
Lindsay, Dennice APRN
Matcheswala, Katherine APRN
Moore, Joan APRN
Richmond, Brittney APRN
Stacy, Brandi APRN
107
108
109
109
110
111
111
112
112
113
113
114
114
115
116
Extended Hours Index
McCracken - cont.
Nurse Practitioner - cont.
Taber, Sandra APRN
Wyatt, Sheryl APRN
Young, Tara APRN
116
117
118
Obstetrics/Gynecology
Mueller, Susan MD
47
Optometry
Ahmad, Bilal OD
Beauchamp, Johnathan OD
Bowling, Aja OD
Brumit, Michael OD
Buckner, James OD
Burt, Kevin OD
Busey, Lannie OD
Case, Michael OD
Chatham, Kaley OD
Coleman, Justin OD
Cora, Eduardo OD
Crockett, Jason OD
Edling, Marie OD
Eger, Michael OD
Gersh, Richard OD
Gibson, Jennifer OD
Green, Rebecca OD
Henderson, Richard OD
Johnson, Douglas OD
Jones, John OD
Kailey, Manavjeet OD
Klutts, Fred OD
Lawrence, Stephen OD
Love, Marcus OD
Luckett, James OD
Lynn, Mark OD
Mansfield, Levi OD
Meyer, Victor OD
Montalvo, Noemi OD
Nagatoshi, Raymond OD
Nolan-Rose, Laura OD
Novotny, Patrick OD
Oliver, Crystal OD
Oliver, Heather OD
Omar, Rashid OD
Owens, Mark OD
Partain, Jeffrey OD
Price, Martin OD
49
49
49
50
50
50
50
50
50
50
50
50
50
50
50
51
51
51
51
51
51
51
51
51
52
52
52
52
52
52
52
52
52
52
53
53
53
53
Pulliam, Mark OD
Reed, Tiffany OD
Robertson, Paul OD
Rogers, Brian OD
Rubesh, Grant OD
Salee, Sarah OD
Sheridan, Donise OD
Smith, Stephen OD
Snead, Kevin OD
Souleyrette, Dale OD
Spear, Steven OD
Stanis, Carl OD
Tabassi, Bita OD
Taylor, Terri OD
Tucker, David OD
Wolf, Nicholas OD
53 Strawberry Hills Pharmacy
53 Walgreens
53 Walmart Pharmacy
53
53
53
53
54
54
54
54
54
54
54
54
54
Orthotics & Prosthetics
Center For Orthotic Prosthetic
Care
90
Pediatric Cardiology
Alexander, Craig MD
56
Pediatrics
Bruce, William MD
Mason, Kayla MD
Mudd, Jeffrey MD
Sanders, Lynda MD
Schell, David MD
16
16
16
58
17
Physical Therapy
Baldwin, Patrick PT
118
Physician Assistant
Kuhlmann, Jill PA
121
Retail
CVS
Davis Drugs
Davis Drugs Lone Oak
G O Pharmacy
KMART
Kroger
Lone Oak Pharmacy
Paducah Pharmacy
Reidland Pharmacy, Inc
Ricks Pharmacy
Ricks Pharmacy Inc
SAMS CLUB
133
133
133
133
133
133
133
133
133
133
133
134
www.wellcare.com/Kentucky | 142
134
134
134
Provider Index
A
Aaron, Ronee DO
77
Abell, Francis DMD
42
Adams, Christopher MD
77
Adams, Kevin OD
22
Adams, Marsha PA
96
Adams, T Michael MD
3
Adams, William DPM
25, 59
Aerocare
89
Ahmad, Bilal OD
49
Ahmadi, Mehdi MD
21
Akram, Muhammad MD
39, 40
Albertson, Brad DO
12, 13
Alexander Lusk, Allie APRN
99
Alexander Lusk, Allie ARNP
99
Alexander, Craig MD
56
Alexander, Dana APRN
94, 104
Alexander-Lusk, Allie APRN
99
Ali, Shaukat MD
45
Allen IV, Henry MD
14
Allen, Henry MD
1
Ambler, Janet APRN
107
Ambulatory Surgery Center Paducah
89
Angles, Ronald DO
41
Apothecary Shoppe Inc
128
Arcare
1
Armbruster, Teresa APRN 98, 107
Arora, Rajiv MD
38
At Home Medical
88
Atkinson, Heidi APRN
94, 107
Atnip, Mark DC
40
Austin, Clegg MD
4
Austin, Faye APRN
94
B
Bailey, Tiffany PA
92, 119
Baker, Amy APRN
107
Baker, Carl MD
48
Baker, Kimberly APRN
108
Baldwin, Patrick PT
118
Ballard County Health Center 79
Ballert, John MD
41
Ballew, Laurie DO
77
Banister, Jason MD
44
Baptist Health Paducah
67
Bardwell Pharmacy
125
Barnes, Lindsey MD
43
Barnes, William MD
6, 10, 33
Barrett, James DC
35
Barrix, Donna LPC
73
Batts, Gregory OD
49
Batts, Rockatonia OD
32
Bazzell, Andrea APRN
100
Bazzell, Erica APRN
94
Beale, Robert MD
35
Bealle, David MD
19
Beauchamp, Johnathan OD
49
Beliles, Christopher OD
49
Bell, Monica APRN
108
Benigno, Daisy MD
7, 29
Benton Discount Pharmacy
132
Bergin, James MD
28
Bess, Melinda APRN
108
Bharadia, Mohamed OD
49
Bhasin, Pramit MD
45
Bhasin, Vijay MD
18
Bibb, Karen MD
45, 57
Bicking, Griffin DO
43, 60
Bilak, Paul APRN
108
Birch, Corey LPC
76
Blackwell, Tara APRN
108
Blalock, Richard MD
3
Bobo, Michael DDS
22
Bodnarchuk, Gary MD
41
Bohannon, Todd MD
37
Bohle, Charles DDS
42
Boone, Lee APRN
98
Boone, Rhonda APRN
94, 108
Borodofsky, Ted MD
48
Bose, Sanjay MD
39
Bossuah, Kwaghdoo APRN
108
Bourne, Jennie APRN
94
Bowers, Barbara MD
48
Bowles, Thomas DMD
54
Bowling, Aja OD
49
Bowman-Stroud, Cynthia MD 15, 16
Boyd, John DDS
27
Boyd, Zane LPC
70
Bozeman, Sarah DO
38
Bradley, Kimberly APRN
104
Brame, Emily PsyD
77
Brannon, Mark PA
98, 102, 119
Braxton, Thomas MD
8, 32
Bray, Deborah APRN
108
www.wellcare.com/Kentucky | 143
Brazzell, John MD
1, 5, 14, 15
Brewer, Jani PT
101, 105, 118
Briscoe, Katina APRN
92, 107
Briscoe, Katina ARNP
97, 108
Broadbent, John MD
39
Brockman, Blair APRN
108
Bromley, Stacy PA
119
Brook, James LCSW
69
Brown, Anna APRN
108
Brown, Benjamin PA
96, 119
Brown, Christina DO
12, 36
Brown, Tricia ARNP
94, 108
Bruce, William MD
16
Brumit, Michael OD
50
Bryson, David MD
22
Buck, James MD
31
Buckhalter, Brandy APRN 108, 109
Buckley, Christina APRN
109
Buckner, James OD
50
Buford, Lisa PA
119
Bugg, Kelly OD
32
Bullock, Smitha MD 24, 25, 56, 57
Burch, Frank PA
96, 119
Burch, Kimberly MD
4
Burkhart Rural Health Clinic
86
Burkhart, Stephen MD
10
Burt, Kevin OD
50
Busey, Lannie OD
50
Butler, Daniel MD
3
Butler, Danny MD
1, 15
Byassee Drug Company
129
Byrd, Amy APRN
109
Byrne, Harry MD
59
C
Caldwell Medical Center
61, 80
Calloway County Health Dept 81
Calvert City Pharmacy
132
Canter, Jamie DC
40
Capps, Dwight MD
22
Cardenas, Jorge MD
16, 47
Carr, Jessica PA
119, 120
Carr, Tammy APRN
109
Carr, Tammy ARNP
109
Carrell, Mary APRN
109
Carrico, Jeffrey MD
8
Carter, James LCSW
73, 75
Carter, Russell DO
41
Provider Index
C - cont.
Case, Michael OD
50
Cash, Ralph MD
2
Cates, Heath MD
4
Caturano, Robert PT
96, 118
Cecil, John MD
58
Cederstrand, Sara MD
60
Center For Orthotic Prosthetic
Care
90
Chapman, Melanie APRN
109
Charette, Raymond MD
23
Chatham, Kaley OD
50
Cherry, Pamela APRN
109
Child Watch Counseling and
Advocacy
75
Chua, Winston MD
18, 45
Clark, Alicia APRN
98
Clark, Clare SLP
97, 106, 121
Clark, Emily PA
101
Clark, Hollis MD
3
Clarke, Jeffrey MD
59
Clinic Pharmacy
130
Clinic Pharmacy of Ky
86
Cobb, Anaclare APRN
109
Colburn, William MD
12
Coleman, Justin OD
50
Colgan, John DMD
90
Collins, Dana PT
97, 105, 118
Combs, Kyle APRN
94, 109
Commission For Children With
Special
107
Compton, Stephen MD
23
Concepcion, Luis MD
44
Conkright, William MD
31, 36, 44
Cooper, Brenda APRN
110
Cora, Eduardo OD
50
Corner Homecare
80, 89, 90
Couch, Jimmy DO
21
Cox, F MD
7
Coyle, Damon MD
38
Craft, John DMD
42
Crisp, Hollie LPC
76
Crit Co Elementary Star Clinic 82
Crittenden Co Health Center
82
Crittenden Co Middle High-Rocket
82
Crittenden Co Rocket Middle 82
Crittenden County Hospital
63
Crockett, Jason OD
50
Croft, Christie APRN
98, 110
Crouch, Richard MD
3
Crowley, Rachel PA
120
Crumble, Tara APRN
110
Crump, William MD
2
Cuadrado, Ruben MD
30, 35
Cuthrell, William MD
47
CVS
123, 124, 126, 128, 132, 133
D
Darling, Sara LMFT
76
Darnell, Rhonda APRN
94, 104
Davies, Theodore MD
46
Davis Drugs
133
Davis Drugs Lone Oak
133
Davis Drugs-DME
89
Davis, Jacqueline APRN
110
Davis, Mark MD
29
Davis, Mary LCSW
75
De LA Rosa, Raymond MD
20, 41
Deeter, Dawn MD
21
Derington, Kelly APRN
110
Deweese, Frederick MD
23, 55
Dickman, Adam PA
120
Dittoe, Nathaniel MD
20, 39
Dobrose, Christopher MD
8
Dolan, Lois PT
97, 105, 118
Dos Remedios, Roberto MD 32, 37
Doss, Kimathi MD
46
Dowdy, James MD
21
Draffenville Pharmacy
132
Drawdy, Joseph APRN
102
Drish, Robert APRN
110
Driver, Rita APRN
100
Dugan, Gordan PT
96, 118
Duncan Clinic Pharmacy
128
Duncan Prescription Center 84, 128
Dunker, Deborah DMD
32
Dunn, Elizabeth PA
101
Dunning, April PA
120
Dutton, Deborah APRN
93
Dyer, Brandi MD
38
E
Easter Seals West Kentucky
Edling, Marie OD
Eger, Michael OD
Elkins, Michelle APRN
Elkins, William PA
Ellis, Joe OD
Ellison, Linda APRN
Ellison, Patrick MD
England, Gary MD
Englert, Kathryn LPC
Etheridge, Meredith ARNP
Etherton, Bambi DC
Etherton, Virgil DC
Evans Drug Company
Evans Total Care LLC
Evans, Kerry LPC
Evans, Kim APRN
Express Pharmacy
Eye Surgery Center of Paducah
50
104
96
36
107
60
47
76
110
20
20
127
83
76
110
124
89
F
Family Practice Clinic PSC
82
Farless, Chelsey APRN
110
Faulkner, Kelly APRN
110
Felts, Pamela LCSW
69
Fennel, Krista CNP
111
Fiessinger, Willard APRN
104, 111
Finch, Monte DO
20
Finizio, Joseph MD
46
Finney, Barbara APRN
111
Fischer, Hannah MD
45
Fischer, Mae MD
15
Fisher, Valerie MD
3
Fleenor Ford, Anita MD
44
Fleenor-Ford, Anita MD
44
Flener, Candace DMD
30
Flowers, Emily APRN
111
Floyd, Kimberly ARNP
93
Flynn, Shawn MD
39
Fooshee, Staci APRN
104
Ford, Alison MD
3
Ford, Halden MD
35, 41
Ford, James MD
39
Four Rivers Behavioral Health
71, 73, 75
Four Rivers Pharmacy
133
Franke, Jenny MD
19
Freeman, Bryan DMD
31, 42
90
Freeman, Sherry APRN
94
50
French, David MD
11
www.wellcare.com/Kentucky | 144
Provider Index
F - cont.
Friedrich, Kristie APRN
Frizzell, Jessica PA
Fulbright, Bennie MD
Gwinn Jr, James MD
39
111
120 H
112
29, 36 Hack, Kristie APRN
Hall, Benjamin OD
22
G
Hall, David MD
18
G O Pharmacy
133 Hall, Graham MD
46
Gamblin, Steven OD
50 Hamon, Andrew MD
47
Gandy, Mary DC
20 Hampton, Cheri PT
97, 105
Gargus, Jessica ARNP
94, 111 Hanger Clinic
90
Garrett, Melinda PA
106, 120 Hanger Prosthetics & Orthotics Inc
Garrett, Melissa APRN
100, 104
89
Garth, Katy APRN
94 Harris, Brady MD
21
Gavin, Michael MD
6, 10 Harris, Christy LPC
74
Gehring, G MD
60 Hart, Christy APRN
112
Geiger, Elizabeth APRN
93, 98 Hawkins, James MD
28, 35, 41
Gersh, Richard OD
50 Hayes, Michael OD
36
Gibson Pharmacy
128 Heffley, Susan MD
3
Gibson, Jennifer OD
51 Heine, Robert DMD
54
Gibson, Wendy OD
36 Heisner, Monty DC
40
Gibsons Pharmacy Homecare
84 Heiss, John MD
12
Gill, Rebecca MD
43 Helton, Amanda LPC
70
Gillespie, Mark MD
28, 48 Henderson, Richard OD
51
Giltner, Kimberlee LCSW
75 Hendon, Shane DO
30, 35, 42
Gipson, Jonathan APRN
111 Heskett, Dennis DC
20
Glenns Apothecary
82, 126 Hickman Co Health Center
85
Glenns Prescription Center 86, 130 Hickman, Barbara APRN
93
Glover, Michael MD
47 Hicks, Michael AUD
94
Gooch, Allen MD
29 Higdon, Julianne APRN
112
Gott, Melissa APRN
104, 111 Hiland, Steve MD
11
Gottman, Erin APRN
111 Hill, Clint MD
23, 55
Gould, James MD
36, 44 Hinson, William DC
40
Grace, Bonnie APRN
112 Hinton, Carl MD
18
Grady, Susan OD
51 Hobbs, Timothy OD
51
Graham, Scott MD
2 Hodges, Christopher PA
120
Grand Lakes Clinic
86 Hodges, Pamela MD
47
Graves County Health Center 84 Hodges, Sharon APRN
112
Graves, Kevin DO
1, 5, 14 Hogancamp, Charles MD
39
Green, Rebecca OD
51 Hogancamp, William MD
33, 46
Green, Thomas MD
21 Holland Medical Services
82
Greene, Ginger APRN
94 Holland, Brian MD
24, 25, 56, 58
Greene, Richard PA
96 Holt, Paul APRN
92, 112
Grizzard, Amy PT
97, 105, 118 Home Health Plus Inc
81
Grogan, Edwin MD
43 Hope Unlimited
47
Grubbs, John MD
46 Hopwood, Christy LCSW
69, 75
Gruber, Thomas MD
46 Houston, John APRN
104, 112
Guin, Jason MD
38 Hovell, Lucretia ARNP
112
Gupton, Emily DO
3 How, Helen MD
45
www.wellcare.com/Kentucky | 145
Howard, Daniel MD
Hoying, Shane DC
Hudson, Samantha APRN
Hughes, Matthew PA
Hughes, Robert MD
Hunt, Philip MD
Hussain, Abid MD
Hutchins, Bradley PA
Hutchison, Stephanie MD
43
40
112
96, 120
3
32
8
96, 120
22
I
Intrepid USA Healthcare Services
81, 84
J
J R Pharmacy
132
Jackson Purchase Medical Center
64
Jackson, April MD
43
Jackson, Darry APRN
107
Jackson, Darrye APRN
92, 97, 112
Jackson, Stephen MD
23, 55
Jaco, James OD
22
James, Gary MD
6
Jamie, Whitney MD
45
Jarvis, Reed OD
22
Jeffries, Angela MD
29
Jernigan, Kimberly APRN
113
Johnson, Benjamin DMD
31, 42
Johnson, Carl MD
40, 59
Johnson, Douglas OD
51
Johnson, Jeff MD
48
Johnson, Kelly PA
96, 120
Johnson, Lauren OD
51
Johnson, Melissa APRN
94
Johnson, Rebecca APRN
104
Johnson, Stan MD
58
Johnsrude, Christopher MD 24, 56
Johnston, Brian PA
120
Jones, Beverly APRN
93
Jones, Catherine APRN
95, 104
Jones, Dale MD
8
Jones, Elizabeth APRN
99
Jones, Emily APRN
92, 97, 107, 113
Jones, John OD
51
Jones, Shawn MD
41
K
Kahre, Travis DC
40
Provider Index
K - cont.
Kailey, Manavjeet OD
51
Karraker, Sabrina APRN
95
Kb Pharmacy
126
Keene, Craig LCSW
68, 72, 75
Kehrer, Leon APRN
113
Keller, Bradley MD
24, 56
Keller, Lee APRN
102
Kelly, Keith MD
59
Kelly, Patrick MD
4
Kelso, Laura APRN
95, 113
Kentuckycare 43
89
Kentuckycare 44
14
Kentuckycare Pharmacy 62
133
Kern, Brian MD
23, 55
Kim, Edward MD
24, 57
Kimbler, Amanda APRN
100
King, Lisa PsyD
71
Kingston, Gregory APRN
92, 97, 107, 113
Kirchner, Benjamin PA
96, 121
Kirk, Shay APRN
113
Klutts, Fred OD
51
KMART
133
Knees, Amy APRN
113
Knight, Kimberley APRN
113
Knox, Michael MD
60
Koch, Jeffrey PA
101
Koelsch, David MD
21
Koenigsmark, Kyli APRN
113
Korson, Rachel MD
21
Kroger
124, 133
Krueger, Bryan PT
101, 106, 118
Kuhlmann, Jill PA
121
Kupper, Robert MD
60
Kyle, Mary LCSW
73, 75
L
Labcorp
78
Laframboise, David PT 101, 106, 118
Lampkin, Roger DPM
26, 37
Lane, Natasha APRN
113
Largent, Beverly DMD
91
Lasher, Lisa MD
47
Lau, Kelvin MD
24, 25, 57, 58
Lawrence, Stephen OD
51
Leahy, Ryan MD
24, 25, 57, 58
Leath, Heather APRN
113
Lebuhn, Carl MD
44
Lebuhn, Polly MD
15
Lee, Robert MD
59
Legacy Oxygen and Home Care
Equipme
81
Legacy Oxygen Home Care
Equipment
89, 90
Legereit, Penny PA
121
Lentz, Anita OD
51
Leonard, Ben OD
36
Leslie, Darrell MD
15
Leslie, Shanna MD
15
Lifeline Home Health Care of
Fulton
83
Lillevig, Joel MD
56
Lincare Inc
89
Lincare-Paducah
89
Lindsay, Dennice APRN
113
Lineberry, Mark MD
39
Lipinski, Lori APRN 100, 104, 113, 114
Little, Jessica DPM
32
Littlejohn, Charles MD
2
Livingston Co Health Center
86
Livingston Hospital & Healthca 65
Lloyd, Courtney LCSW
69
Locken, Peter MD
59
Logan, William MD
18
Lombardi, Salvatore MD
21
Lone Oak Pharmacy
133
Long, James MD
15
Lopez, Emily PA
121
Lopez, Nicholas MD
59
Lorenz, Frederick MD
20
Lotz, Douglas MD
38, 58
Lourdes Home Care
90
Lourdes Hospice
90
Lourdes Hospital Inc
67
Love, Marcus OD
51
Lovett, Jessica APRN
105
Lowdenback, Rachel DO
16
Luckett, James OD
52
Lykins, Tara APRN
114
Lyles, Aaron OD
36
Lyles, Julia MD
13
Lyles, Natasha OD
22, 32, 52
Lynn, Mark OD
52
Lyon Co Health Center
87
www.wellcare.com/Kentucky | 146
Lyon Drug Store
131
M
Maddux, H MD
2, 6
Maddux, Howard MD
6
Maddux, Jonathan MD
6
Mahan, Jonathan DMD
42
Malik, Indu MD
7
Malik, Nasira MD
7
Malla, Yogesh MD
56
Manchikanti, Laximaiah MD
56
Manley, Dana APRN
105
Mansfield, Levi OD
52
Marilyns Medical Freedom Inc 89
Marion Physicians Clinic
82
Marquess, Carl MD
48
Marshall County Family Med
12
Marshall County Health Dept
88
Marshall County Hospital
66
Martin, Aribbe MD
14
Martin, William OD
52
Mason, Kayla MD
16
Matcheswala, Katherine APRN 114
Mathis, Justin DC
18
Matta, Jyothi MD
24, 25, 57, 58
Mauterer, David MD
43
Mayfield Family Medicine
84
Mayor-Lynn, Kathleen MD
21
McCarty, Sylvia LCSW
69
McCombs, Ricky MD
42
McConnell Drug Inc
87
McConnell Health Mart Pharmacy
131
McCullough, Steven DO
21, 45
McElroy, Bradley MD
39, 40
McElroy, Laura CNP
114
McGregor Cobern, Elizabeth MD 16
McKeel, Lacy APRN
95
McMican, William LMFT
69
McNeill, Carly APRN
100
Medcare Home Medical
89, 90
Medcare Medical Supply
89
Medcare Pharmacy and Home
Medical
125
Medcare Pharmacy Home Medical
127
Medical Arts Home Medical
81
Medical Arts Pharmacy
124
Provider Index
M - cont.
Meeks, Landen MD
48
Meeks, Van MD
15, 16
Mendoza, Maria MD
77
Meyer, Victor OD
52
Midkiff, Cory PT
118
Miller, Daniel MD
4
Miller, Diane PA
96
Miller, Lisa APRN
114
Miller, Natalie MD
38
Milliner, Matthew DMD
32
Milo, Jackie MD
4
Modi, Yashpal MD
44
Montalvo, Noemi OD
52
Moody, Chelcia APRN
93
Moore, Joan APRN
114
Morgan, Derek MD
23
Morgan, Teresa APRN
114
Morse, Rebecca LPC
70
Moryl, Maegan APRN
105
Moss, Teresa APRN
114
Mudd, Jeffrey MD
16
Mueller, Susan MD
36, 47
Murphy, Kasey APRN
95, 114
Murray Calloway Co Hospital
Hospice
81
Murray Calloway Co Hospital RX
124
Murray Calloway County Hospital
62
Murray Calloway County Hospital
HHC
81
Mutchler, Bradford MD
14
N
Nagatoshi, Raymond OD
Naghtin, Ellery APRN
Naulty, Stuart DPM
Neal, Ashley MD
Nelson, Jennifer CNP
Nelson, Jennifer DO
New, Darrell APRN
Newberry, Daniel OD
Newby, Brent DDS
Nolan-Rose, Laura OD
Not Alone Fitting Boutique
Novotny, Patrick OD
Nps Pharmacy
52
93
26, 37
24
93
14
115
52
42
52
89
52
133
O
Odell, Nicholas MD
Oetjen, Lisa APRN
Oliver, Crystal OD
Oliver, Heather OD
Omar, Rashid OD
Option Care
Orourke, James MD
Orr Medical LLC
Osbron, Donna APRN
Otto, Hans MD
Owens, Mark OD
4
115
52
52
53
90
60
89
115
38
53
P
Paducah Middle School Clinic 89
Paducah Pharmacy
133
Paducah Prosthetics
90
Parker, Derrall MD
48, 49
Parker, Kenneth PA
93
Parker, Sarah OD
18, 28
Parrott, Celia PA
121
Partain, Jeffrey OD
53
Pasco, William DMD
20, 35
Patel, Shiraz MD
23, 55
Patton, Demetrius MD
28, 33
Payne, Douglas OD
22
Payne, Holly MD
16
Peek-Fisk, Rolanda LCSW
73
Peers, Christopher MD
18
Pennyrile Home Medical
90
Pennyrile Home Medical Paducah
90
Pennyroyal Healthcare Services Inc
80
Perez, Edwin MD
12
Perkins Pharmacy
129
Perkins, Eddie DO
36, 47
Perry, Jami MD
2
Petty, Sue MD
43
Pharmacy Inc
81
Phillips, Kara APRN
102
Pinerola, Jase PT
119
Pitaras, Elias MD
31, 45
Pittard, Joseph MD
15
Porter, Adria OD
28
Porter, Josh PA
121
Price, Martin OD
53
Princeton Drug Inc
123
www.wellcare.com/Kentucky | 147
Pulliam, Mark OD
53
Purchase Area Sexual Assault and
Child A
89
Purvis, Melissa MD
15
Q
Quest Diagnostics
Quintero, Paige MD
R
Ramey, Sonja LCSW
Rankin, Bradley MD
Ransler, Charles MD
Ranval, Timothy MD
Rasnake, Robert LPC
Rayes-Prince, Emily MD
RCG Paducah South
Reed, Pamela MD
Reed, Samantha APRN
Reed, Tiffany OD
Regional Home Care Pkwy
Reidland Pharmacy, Inc
Reside, Cecelia LCSW
Resser, John MD
Rey, Jonathan MD
Rhinehart, Ashley APRN
Rhodes, Jaime APRN
Rice, Michael DMD
Richards, Nathan MD
Richardson, Jeffrey DPM
Richardson, Sarah LPC
Richardson, Whitney LPC
Richert, Judith OD
Richmond, Brittney APRN
Ricks Pharmacy
Ricks Pharmacy Inc
Riehl, Candace CNM
Riley, Debra APRN
RITE AID
Robbe, Frederick MD
Roberts, Kara PT
Roberts, Keith OD
Robertson, Charles DMD
Robertson, Paul OD
Robinson, William MD
Rogers, Brian OD
Rogers, Jennifer APRN
Romine, Spencer MD
78
43
69
28, 38
37, 60
60
76
56, 58
89
42
115
53
83
133
76
41
2
95, 115
100
55
38
32
76
76
53
115
133
90, 133
100
105
124
19
119
53
20
53
3
53
95
23, 55
Provider Index
R - cont.
Smith, Patricia APRN
100, 116
Rommelman, Monte MD 25, 58, 59 Smith, Richard MD
15
Rousseau, Thomas MD
28 Smith, Stephen OD
54
Rubesh, Grant OD
53 Smith, Tony OD
32
Runciman, Kenneth MD
12, 14 Smithland Drugs
130
Rushing, James DC
18 Smithland Pharmacy Inc
86
Ryan, Martha APRN
95, 105 Snead, Kevin OD
54
Snodgrass,
Derek
DC
35,
40
S
116
Salee, Sarah OD
53 Snow, Keisha APRN
Snow,
Shelby
APRN
116
Sallee, John MD
71
24, 25, 57
Salvucci, Thomas DO
30 Sobczyk, Walter MD
Souleyrette,
Dale
OD
54
SAMS CLUB
134
25, 57, 58
Sanders, Deidra APRN
116 Sparks, Joshua MD
Sparks,
Rodney
DC
41
Sanders, Lynda MD
45, 58
54
Sanders, Scott MD
60 Spear, Steven OD
Sperry,
Christopher
MD
16
Sasseen, Alison APRN
116
60
Savells, Amber MD
48 Spicer, Donald MD
Spilkin,
Simon
MD
2
Saxon, David MD
14
Scheidler, Elizabeth APRN
103 Sprunger Canella, Maria CNM 95
116
Schell, David MD
17 Stacy, Brandi APRN
93
Schipp, Heath DC
40 Stallins, Martiza APRN
Stanczyk,
Christopher
DO
26,
32
Schmitt, Stefanie LCSW
69
54
Schoonover, Kent DC
34 Stanis, Carl OD
Starkey,
Anthony
MD
6
Schumacher, Elizabeth PHD
77
116
Schuschke, Leslie MD
58 Stewart, Anna ARNP
Stewart-Jaynes,
Marissa
MD
11
Seilheimer, August Ldo
49
43
Shah, Pankajkumar MD
2 Stigall, Kevin MD
Stodghill,
Burton
MD
23,
55,
56
Shanahan, Tammy LCSW
73
8
Shanks, Todd MD
47 Stone, Richard DO
Stones
Drug
Store
84
Shastri, Ghanshyam MD
26
Sheridan, Donise OD
32, 53 Stones Health Mart Pharmacy 128
116
Sherrill, Kimberly LCSW
69 Story, Brittany APRN
116
Shiben, Timothy MD
42 Story, Jennifer APRN
Strange,
Samantha
DMD
31,
42
Shircliff, Kristin APRN
95, 116
134
Sims, John DMD
34 Strawberry Hills Pharmacy
Strenge,
Kenneth
MD
23,
56
Singh, Tamina MD
45, 58
116
Sitton, Lora DMD
18 Strickland, Christie APRN
Stringer,
Sandy
APRN
100
Siva, Niranjan MD
46
97, 105, 118
Skinner, William MD
28, 33, 44 Sturm, Amanda OT
Sublett,
James
MD
38
Slatter Hall, Miriam MD
48
122
Sloan, Pamela LPC
68 Sutton Drugs of LA Center
Swain,
Brian
MD
21
Smith Jr, William MD
9
22
Smith, Abbie APRN
95 Swann, Frederick OD
Sydnor,
Carl
OD
54
Smith, Bruce MD
9
Smith, David MD
Smith, Gary APRN
Smith, Mina LCSW
1, 5, 14 T
95 Tabassi, Bita OD
73, 76 Tabb, Thomas MD
Taber, Sandra APRN
116
Talley, Daniel OD
18, 28
Talley, Joel MD
40
Taylor, Alicia PsyD
70
Taylor, Alysha PA
96
Taylor, Jeffery MD
49
Taylor, Terri OD
54
Telle, Terri MD
16
Thistlethwaite, William MD
31
Thompson, Benjamin DMD 31, 43
Thrifty Home Medical
82
Thurston, Timothy PA
121
Tilford, Ron MD
49
Tolar, Stewart MD
48
Torok, Anita MD
30, 35
Travis, Michael DC
35
Trevathan, Elizabeth APRN
95
Trevathan, Steven MD
26
Triana, Rudolph MD
30
Triplett, Jeffrey MD
59
Tri-Rivers Healthcare PLLC
6
Troutman, Adrianna PT
96, 119
Tucker, David OD
54
Turbyville, Joseph MD
39
Turley, Karla MD
22
Turnbo, James MD
14
Turnley, Marcus PA
121
Tveite, John MD
12
Tynes, Yolanda APRN
105
Tyrrell, Dana MD
43
V
Van Horn, Laurel OD
36
W
Wagner, Amanda MD
48
Walgreens
124, 128, 134
Walker, Haley LPC
70
Wallace, Jesse MD
16
Waller, Charles MD
12
Walmart Pharmacy
123, 124, 127, 128, 132, 134
Walters Family Pharmacy
124
Walters, Jonathan MD
12
Ward, Jeffrey PA
92, 121
Ward, William OD
54
Wassynger, William MD
39
54
Watkins, Kimberly LPC
74
48
www.wellcare.com/Kentucky | 148
Provider Index
W - cont.
Webster, Krista PT
119
Welsh, Deborah APRN
117
Wenzsherrill, Kimberly LCSW
76
West Towne Pharmacy
134
West, Jackie DMD
20
West, Tommy PT
119
Western Kentucky Home Medical
Equipment
88
Westrich, David MD
49
Whitaker, Linda APRN
117
White, Lesley APRN
117
White, Saundra APRN
105
White, Teresa APRN
103
Whitehair, Robyn APRN
93
Whitehead, Jaime APRN 92, 107, 117
Whitehead, Jamie APRN
97
Wickliffe Pharmacy Inc
122
Wiggins, Ashley APRN
95
Wilder, Debra MD
11
Wildharber, Cari APRN
117
Wilkerson, Jennifer APRN
100
Wilkerson, Jonathan MD
45
Williams, Courtney LCSW
69
Williams, Jesse OD
22
Williams, Johnny MD
31
Williams, Joseph LCSW
73
Williams, Lori MD
49
Williams, Patricia MD
8
Willis, Jennifer APRN
117
Wilson, Brittany PA
121
Wilson, Jamie APRN
117
Wilson, Michelle APRN
117
Wilson, Sarah APRN
100, 101
Winkler, Charles MD
44
Winters, Michael DC
41
Woeltz, Van MD
46
Wolf, Nicholas OD
54
Wood, Penny APRN
117
Wood, Wyetha APRN
93, 103
Woods, Tanya MD
8
Woods, Tracy OT
118
Wortham, Christy ARNP
117
Wright, Lucinda MD
25, 57
Wright, Wendell OT
96, 118
Wyatt, Sheryl APRN
117
Wynstra, Jonathan MD
31
Y
Yates, Christy APRN
Yazigi, Ghassan MD
Yezerski, John MD
Yoder, Suzanne MD
Young, Chad DC
Young, Matthew MD
Young, Tara APRN
Z
Zetter, David MD
118
6, 10
23, 24
77
30
60
118
5
www.wellcare.com/Kentucky | 149
76159
1-877-389-9457 (TTY/TDD 1-877-247-6272)
www.wellcare.com/Kentucky