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Kentucky · Video visits statewide
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Care that fits your life
Telehealth care in Pikeville, Kentucky.
Wade’s Care First sees Pikeville patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Pikeville.
Telehealth only. No office in Pikeville: you join from wherever you are in Kentucky. Pricing · Insurance Accepted
Services
What Pikeville patients book.
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderPrimary Care
Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskPreventive Care
Screenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentMental Health
Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensADHD
Evaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itMedical Weight Management
A workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsUrgent Care
Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoDermatology
Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsShort-Term Pain Management
Back and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningMen’s Health
ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stageWomen’s Health
Periods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upPediatric Care
Video visits for the things that keep a kid home from school.
Older adults and their familiesGeriatric Care
Medication review, chronic conditions and coordination with everyone involved.
Part of your primary careSleep Concerns
Insomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingGeneSight® Testing
A cheek swab that adds genetic information to mental-health medication decisions.
Booking & Insurance
Plan your video visit.
Start with the care you need. We’ll guide you through the visit details and available times.
Choose your visit
Select your service and whether you are a new or established patient.
Choose how to pay
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Find an available time
Confirm where you will be during the visit and your timezone, then review your appointment details.
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a VisitHow It WorksOrders go local
Labs, imaging and pharmacies near Pikeville.
Labcorp lists a Pikeville location at 419 Town Mountain Road. Pikeville Medical Center’s Diagnostic Center and Drive Thru Laboratory are at 911 Bypass Road, Building D. Quest also lists preferred partners in Pikeville; those listings do not establish that every partner accepts every type of order. Confirm the specific test, collection arrangements and insurance directly.
Big Sandy Health Care on Weddington Branch Road is the sliding-fee clinic for in-person care. For prescriptions, the nearest Walgreens is in Prestonsburg rather than Pikeville, so name the local pharmacy you already use and ask about a 90-day supply to cut down on trips.
Blood work
Local options include Labcorp at 419 Town Mountain Road and PMC Diagnostic Center and Drive Thru Laboratory at 911 Bypass Road, Building D. Quest’s directory also lists preferred partners in Pikeville; confirm their services and order requirements before choosing a site.
Imaging
PMC Diagnostic Center, 911 Bypass Rd, Building D (MRI, CT, ultrasound, 3D mammography, low-dose CT lung screening; open weekdays and weekends).
Pharmacies
Walgreens’ Kentucky store directory lists no Pikeville store; the nearest listed Walgreens town is Prestonsburg. Other chain and independent pharmacies serve the city.
Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.
Patient Questions
All Patient Questions Pikeville questions.
Does Wade’s Care First have an office in Pikeville?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in Kentucky, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Pikeville, such as Pikeville Medical Center (911 Bypass Rd; Adult Level II trauma center, ACS verified, the only Level II in Kentucky; 24/7 emergency department) and Tug Valley ARH Regional Medical Center (260 Hospital Dr, South Williamson, Pike County; Level IV trauma center).
Where will I go for blood work if I live in Pikeville?
Local options include Labcorp at 419 Town Mountain Road and PMC Diagnostic Center and Drive Thru Laboratory at 911 Bypass Road, Building D. Quest’s directory also lists preferred partners in Pikeville; confirm their services and order requirements before choosing a site. We send the order electronically to a location that is convenient for you or in your insurance network. Results come back to us for review with you.
Which Pikeville hospitals have an emergency department?
Pikeville Medical Center (911 Bypass Rd; Adult Level II trauma center, ACS verified, the only Level II in Kentucky; 24/7 emergency department) and Tug Valley ARH Regional Medical Center (260 Hospital Dr, South Williamson, Pike County; Level IV trauma center). For chest pain, trouble breathing, stroke symptoms, severe bleeding, a major injury or thoughts of harming yourself, call 911 or go to the nearest emergency department rather than booking a video visit.
Are there community health centers in Pikeville for in-person care?
Big Sandy Health Care (Pikeville Community Health Center, 50 Weddington Branch Rd Ste B; Shelby Valley Clinic, 178 Douglas Pkwy) and Mountain Comprehensive Care Center HomePlace Clinics (HRSA-listed sites at 118 River Dr and 1330 S Mayo Trl Ste 201) serve the area with in-person primary care on a sliding scale. Many patients pair that kind of local clinic with telehealth for follow-ups, medication management and specialist coordination.
Can I use Kentucky Medicaid or other insurance for a telehealth visit from Pikeville?
Kentucky Medicaid, state-specific plans and HMO plans are not accepted. Plans accepted in Kentucky: BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, TRICARE. Benefits are verified before your visit, and self-pay pricing is posted if your plan is not accepted.
Is Pikeville a health professional shortage area?
Primary Care: low-income population HPSA LI-Pike County (score 21, designated 2021, updated 2025). Mental Health: geographic HPSA Pike County (score 18, designated Feb. 2025). Rural health clinic HPSAs: Compassion Services and Pediatric Associates of Pikeville. MUA: Pike Service Area (1978). Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.
Can orders be sent to a laboratory or imaging facility near me?
When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.
More answers
Questions Pikeville patients ask about urgent care, primary care and geriatric care.
- Can a sore throat be assessed without an in-person examination?
- How do you decide if sinus symptoms need antibiotics?
- How can home blood pressure readings be used during a virtual visit?
- Can primary care help when I have several symptoms that may be connected?
- Why is a complete medication list particularly important for older adults?
- Can dizziness or falls be discussed during a virtual visit?
All Urgent Care Questions All Primary Care Questions All Geriatric Care Questions
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Sources
- citypopulation.de
- kbems.ky.gov
- chfs.ky.gov
- gisportal.hrsa.gov
- gisportal.hrsa.gov
- gisportal.hrsa.gov
- data.cdc.gov
- walgreens.com
- Labcorp: Pikeville
- PMC Diagnostic Center and Drive Thru Laboratory
- Quest: preferred Pikeville location
- U.S. Census Bureau: Kentucky city estimates, Vintage 2025
- U.S. Census Bureau: county estimates, Vintage 2025
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
Browse All Patient EducationHealth topics for Pikeville patients.
Articles on the care people in Pikeville book most, each linked to its service and booking.
Dermatology
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Geriatric Care
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Urgent Care
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A local landmark
Pike County Courthouse
The historic Pike County Courthouse on Main Street in downtown Pikeville, Kentucky.
Photo: Nyttend / Wikimedia Commons · Source · Public domain. Resized for display.
Rural community · Pike County
Getting care in Pikeville
Pike County seat and the medical center of far eastern Kentucky’s coalfields, home to the University of Pikeville and the state’s only Level II trauma center, in a county that has lost nearly a quarter of its people since 1990.
Pikeville punches far above its size. Pikeville Medical Center on Bypass Road is Kentucky’s only Level II trauma center and draws patients from across the coalfields and into West Virginia, and the University of Pikeville trains osteopathic doctors for the region. Getting a routine appointment is harder. HRSA scores Pike County’s low-income primary care shortage at 21, among the higher scores in the state, and the entire county is a mental health shortage area.
Families in Elkhorn City, Belfry or Phelps can spend an hour each way on mountain roads for a fifteen-minute visit. A video visit with Wade’s Care First handles primary care, depression and anxiety, ADHD and weight management from home, and sends labs to Pikeville.
Access in Pike County
HRSA designates Pike County’s low-income population a primary care HPSA (LI-Pike County, score 21) and the whole county a geographic mental health HPSA (score 18, designated 2025); Pike Service Area has been a Medically Underserved Area since 1978, and two Pikeville rural health clinics hold their own HPSA designations. Pike County’s population fell from 72,583 in 1990 to an estimated 54,721 in 2025. Walgreens’ Kentucky store list includes no Pikeville store; the nearest listed town is Prestonsburg.
Sandy Valley Transportation Services runs $1 dial-a-ride public transit and Medicaid rides across Pike and neighboring counties. County Health Rankings (2025) puts Pike County life expectancy at 69.3 years, versus 73.3 for Kentucky. CDC PLACES estimates 10.5% of Pike County adults lacked reliable transportation in the past year.
Who this helps most in Pikeville
Pike County carries the health load of a coal county. CDC PLACES estimates 15.6 percent of adults have diabetes, 13.2 percent have COPD, nearly one in four smokes and 45 percent have high blood pressure, and about one adult in ten went without reliable transportation in the past year. Telehealth fits retired miners and their spouses managing blood pressure, diabetes and breathing problems, adults in hollows far from town who want depression or anxiety treatment without the drive, and University of Pikeville students who need a prescriber. A good cell or broadband signal matters, so plan the visit where yours is strongest. Go in person for chest pain, stroke symptoms or serious injury; call 911 or go to Pikeville Medical Center.
Local health considerations
- Chronic disease: CDC PLACES (2024 release; 2021–2022 survey data; crude modeled estimates) estimates Pike County adult diabetes at 15.6%, COPD 13.2%, smoking 23.6%, high blood pressure 45.1% and any disability 44.3%.
- Shortage: low-income primary care HPSA score 21 and countywide geographic mental health HPSA (HRSA).
- Population loss: Pike County fell from 72,583 (1990) to about 54,721 (2025).
- Transportation: 10.5% of adults report lacking reliable transportation (PLACES).
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