Communicare Inc
Organization Active NPI Community/Behavioral Health Agency · Brandenburg, KY
NPI 1295872638 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1295872638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 800005 (KY)
- Legal business name
- COMMUNICARE INC
- Practice address
- 2025 Bypass Rd Ste 205
Brandenburg, KY 40108-1634 - Phone
- (270) 422-3971
- Fax
- (270) 234-8572
- NPI assigned
- Feb 1, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNICARE INC
Authorized official
- Name
- Lisa Wise
- Title
- Ceo
- Phone
- (270) 765-2605
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 12
Practitioners 51
-
Charlotte Leah Adams, APRN-BC, MSN
-
Keri Brockman, LPCA
-
Karen Curtis, LCSW
-
Sandra M Dennis, LPCC
-
Ronald E Devers, LPCC
-
Joyce Evitts, LCSW
-
Crystal Dawn Farmer, LPCC
-
Scott Anthony Gibson, M.A.
-
Chasity Lucille Johnson, B.A.
-
Tehmina A Khan, M.D.
-
Eric Lydon, MD
-
Glenna Major, M.D.
-
Anna A Podolskaya, M.D.
-
Robyn Proctor, LPCA
-
Andrew Ruther, LCSW
-
Terri Jean Sharp, APRN
-
Tracy Monique Wathen, LCSW
-
Gerry-Lynn Wichmann, M.D.
-
James Vaughn Brock Jr., MDIV., PSYD., L.S.W.
-
Sarah Beth Meade, P/MHNP
-
Cindy Petzke, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000758 | KY | Part B Supplier - Clinic/Group Practice | 9830097815 |
Receives reassigned benefits from 48 practitioners 12 other NPIs on this enrollment Practice locations: Hodgenville, KY; Lebanon, KY; Radcliff, KY; Springfield, KY; Leitchfield, KY; Elizabethtown, KY; Bardstown, KY; Brandenburg, KY… |
National Provider Directory
- Tax ID family
- Communicare Inc
- Part of
- Communicare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 800005 | KY | Yes |
Addresses
Primary practice location
2025 Bypass Rd Ste 205
Brandenburg, KY 40108-1634
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000057131 | Other | KY | ANTHEM |
| 195590000 | Other | KY | MAGELLAN |
| 2448575000 | Other | KY | PASSPORT ADVANTAGE |
Other providers in Brandenburg, KY
- Carl W. Sydnor
- Hans J Cesarz
- Jason Chambers
- Laura Kelly Chism
- Julia Kay Collins
- Complete Family Care Practitioners
- Cox Family Dental
- Ricky L Cox
- Valerie Renee Crossman
- Cumberland Family Medical Center Inc
All providers in Brandenburg, KY · Community/Behavioral Health Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.