Bonnie L Clark (NPI# 1831472133, PAC ID# 6305019217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831472133 |
| PAC ID by PECOS | 6305019217 |
| Professional Enrollment ID | I20150605000707 |
| Full Name | Bonnie L Clark |
| Organization Legal Name | BEHAVIORAL HEALTHCARE MANAGEMENT LLC. |
| Address |
4010 Dupont Cir Suite 565 Louisville KY 40207-4888 |
| Phone Number | 5028951611 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557592474 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150009 | CLARK MEMORIAL HOSPITAL |
| 150044 | BAPTIST HEALTH FLOYD |
| Address | Phone | Organization |
|---|---|---|
| 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 8122832308 | FAMILY HEALTH CENTER OF CLARK COUNTY INC |
| 4010 Dupont Cir, Suite 565, Louisville, KY 40207-4888 | 5028951611 | BEHAVIORAL HEALTHCARE MANAGEMENT LLC. |
| Organization Legal Name | BEHAVIORAL HEALTHCARE MANAGEMENT LLC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica A Graves | Nurse Practitioner | Behavioral Healthcare Management LLC. | 4010 Dupont Cir, Suite 565, Louisville, KY 40207-4888 |
| Cathy A Tao | Psychiatry | Behavioral Healthcare Management LLC. | 4010 Dupont Cir, Suite 565, Louisville, KY 40207-4888 |
| Thomas B Ashley | Clinical Social Worker | Behavioral Healthcare Management LLC. | 4010 Dupont Cir, Suite 565, Louisville, KY 40207-4888 |
| Pedro Joel Velasco | Psychiatry | Behavioral Healthcare Management LLC. | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 |
| Street Address |
4010 DUPONT CIR SUITE 565 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40207-4888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susanne Binford | Clinical Social Worker | Meridian Behavioral Health Inc | 4010 Dupont Cir, Suite 419, Louisville, KY 40207-4837 |
| James D Charasika | Family Medicine | 4010 Dupont Cir, Suite 308, Louisville, KY 40207-4881 | |
| Vernon C Rickert | Clinical Social Worker | Terry M Hagan Md | 4010 Dupont Cir, Suite 202, Louisville, KY 40207-4847 |
| Kayla Lim | Physical Therapy | Sn Kentuckiana Rehab LLC | 4010 Dupont Cir, Suite L14, Louisville, KY 40207-4825 |
| Kasey A Metts | Nurse Practitioner | Meridian Behavioral Health Inc | 4010 Dupont Cir, Suite 419, Louisville, KY 40207-4837 |
| John M Papanek | Clinical Social Worker | Meridian Behavioral Health Inc | 4010 Dupont Cir, Suite 419, Louisville, KY 40207-4837 |
| Elena Salerno | Obstetrics/gynecology | All Women Ob/gyn, Psc | 4010 Dupont Cir, Suite L07, Louisville, KY 40207-4812 |
| James G Monk | Physical Therapy | Sn Kentuckiana Rehab LLC | 4010 Dupont Cir, Suite L14, Louisville, KY 40207-4825 |
| Amy M Deeley | Obstetrics/gynecology | All Women Ob/gyn, Psc | 4010 Dupont Cir, Suite L07, Louisville, KY 40207-4812 |
| David E Harmon | Clinical Social Worker | 4010 Dupont Cir, Suite 226, Louisville, KY 40207-4847 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Darrow | Clinical Social Worker | 6011 Brownsboro Park Blvd G, Louisville, KY 40207-1292 | |
| Courtney M Campbell | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Lori Michelle Holt | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Erica Walsh | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Etta N Rosati | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Renee N Poirier | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Bridgid M Mahan | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Courtney C Wayland | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Thomas D Cummins | Plastic and Reconstructive Surgery | 6002 Brownsboro Park Blvd E, Louisville, KY 40207-1298 | |
| Douglas M Johnson | Optometry | Dr. Mark Lynn and Associates, Pllc | 100 W Market St, Louisville, KY 40207-1332 |
| Find all physicians in zip 40207 | |||
| City | LOUISVILLE |
| Zip Code | 40207 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bonnie L Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.