Dr Julie Gay Karnes, MD - Medicare Family Practice in Hillsboro, OH

Dr Julie Gay Karnes, MD is a medicare enrolled "Family Medicine" physician in Hillsboro, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Highland District Hospital Professional Services Corporation, Primary Health Partners, Inc. and her current practice location is 8062 Overman Rd, Hillsboro, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 840-0427.

Dr Julie Gay Karnes is licensed to practice in Ohio (license number 35071795K) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811997521.

Contact Information

Dr Julie Gay Karnes, MD
8062 Overman Rd,
Hillsboro, OH 45133-6389
(937) 840-0427
(937) 393-5327

Map and Direction




Physician's Profile

Full NameDr Julie Gay Karnes
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location8062 Overman Rd, Hillsboro, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Julie Gay Karnes attended and graduated from Wright State University Boonshoft School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1811997521
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 11/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3678625423
  • Enrollment ID: I20090709000162

Medical Identifiers

Medical identifiers for Dr Julie Gay Karnes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811997521NPI-NPPES
D71795OtherHUMANA
0104406OtherUNITED HEALTHCARE
0005804092OtherAETNA
000000270835OtherANTHEM
2056242MedicaidOH
PH00503684OtherNATIONWIDE
000000270835OtherOHOHIO OPERATING ENGINEERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35071795K (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of Fayette County IncWashington ch, OHHospice
Highland District HospitalHillsboro, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Highland District Hospital Professional Services Corporation397141569620
Primary Health Partners, Inc.42847349632

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Julie Gay Karnes allows following entities to bill medicare on her behalf.
Entity NameHighland District Hospital Professional Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205893351
PECOS PAC ID: 3971415696
Enrollment ID: O20031103000127
Entity NamePrimary Health Partners, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043427966
PECOS PAC ID: 4284734963
Enrollment ID: O20070710000828

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Julie Gay Karnes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Julie Gay Karnes, MD
8062 Overman Rd,
Hillsboro, OH 45133-6389

Ph: (937) 840-0427
Dr Julie Gay Karnes, MD
8062 Overman Rd,
Hillsboro, OH 45133-6389

Ph: (937) 840-0427

Reviews and Comments


Family Medicine Doctors in Hillsboro, OH

Dr. Jobeth E. B. Lee, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 435 W Walnut St, Hillsboro, OH 45133
Phone: 434-907-4095    
Thomas R. Randall, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1275 N High St, Hillsboro, OH 45133
Phone: 937-393-6140    
Dr. David S Ayres, M.D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6320 Sr 138, Hillsboro, OH 45133
Phone: 937-393-6512    Fax: 937-393-0442
Dr. Matthew Scott Studebaker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 160 Roberts Ln, Hillsboro, OH 45133
Phone: 937-393-9955    Fax: 937-393-9966
Dr. Nancy Nelle Cotten, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1487 N High St, Hillsboro, OH 45133
Phone: 937-840-9150    Fax: 937-840-0777
Ron Allen Zile, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1402 N High St, Hillsboro, OH 45133
Phone: 937-393-4899    Fax: 937-393-4996
Catherine A Shanahan, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1402 N High St, Hillsboro, OH 45133
Phone: 937-393-4899    Fax: 937-393-4996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.