Rebekah Susan Cain, APRN

Individual provider Active NPI Pediatric Nurse Practitioner · Barbourville, KY

NPI 1710345988 · NPPES record last updated May 2, 2023

Key facts

NPI
1710345988
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
3010071 (KY)
Practice address
215 N Allison Ave
Barbourville, KY 40906-1336
Phone
(606) 546-9287
Fax
(606) 546-0009
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbourville Family Health Center (30 clinicians)

Practice addresses (Care Compare)

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160331002517 KY Practitioner - Nurse Practitioner 9830496132 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center Current
since May 28, 2023
Accepting new patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center Past Accepting new patients

Locations

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3010071 KY Yes

Addresses

Primary practice location

215 N Allison Ave
Barbourville, KY 40906-1336

Mailing address

PO Box 1150
Barbourville, KY 40906-5150
Phone (606) 546-9287

Other identifiers

IdentifierTypeStateIssuer
7100390680MedicaidKY

Other providers in Barbourville, KY

All providers in Barbourville, KY · Pediatric Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.