Duska Suede Dixie Bethel, DNP, AGACNP-BC
Individual provider Active NPI Nurse Practitioner · Madisonville, KY
NPI 1720437882 · NPPES record last updated Feb 25, 2017
Key facts
- NPI
- 1720437882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3010243 (KY)
- Practice address
- 44 McCoy Ave
Suite Number 227
Madisonville, KY 42431-2867 - Phone
- (270) 825-0020
- Fax
- (270) 825-0016
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Kentucky College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Deaconess Medical Group Inc
Urology Partners of Western Ky PSC
Practice addresses (Care Compare)
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 824-6655
44 McCoy Ave
Suite 227
Madisonville, KY 42431-2867
Phone (270) 825-0020
Hospital & facility affiliations
- Baptist Health Deaconess Madisonville
- Owensboro Health Regional Hospital
- Deaconess Henderson Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161219001907 | KY | Practitioner - Nurse Practitioner | 1759662356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1119928 | KY | MD | Registered Nurse |
| 3010243 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Baptist Health Madisonville Inc | Past | Accepting new patients |
Locations
500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1119928 | KY | |
| Nurse Practitioner | 363L00000X | 3010243 | KY | Yes |
Addresses
Primary practice location
44 McCoy Ave
Suite Number 227
Madisonville, KY 42431-2867
Mailing address
PO Box 1062
Henderson, KY 42419-1062
Phone (812) 942-2300
Other names
- Miss Duska Suede Dixie Hoyle
Other providers in Madisonville, KY
- Richard C Bauer
- Ashley Baugh
- Ellen Louise Beach
- Laura Marie Bearden
- Behavioral Resources, Inc.
- Bradley James Bilbro
- Taylor Binyon
- Bio-Medical Applications of Kentucky, Inc.
- Tammy Ann Bishop
- Victoria Lee Bivins
All providers in Madisonville, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2017. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.