Credentialing For questions about Credentialing billing, contact Andrea Tackett at (859) 277-1762. Payment InformationInvoice IDDescriptionAmount* Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Billing InformationName First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Phone
