Mr Jerry L Woolum, MD is a medicare enrolled "Surgery" physician in Barbourville, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Arh Mary Breckinridge Health Services, Inc. and his current practice location is
80 Hospital Dr Ste 2, Barbourville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 545-4460.
Mr Jerry L Woolum is licensed to practice in Kentucky (license number 15458) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467464446.
Physician's Profile
Full Name | Mr Jerry L Woolum |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 55 Years |
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Location | 80 Hospital Dr Ste 2, Barbourville, Kentucky |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Jerry L Woolum attended and graduated from University Of Kentucky College Of Medicine in 1969
NPI Data:
- NPI Number: 1467464446
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 02/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830288240
- Enrollment ID: I20101210000357
Medical Identifiers
Medical identifiers for Mr Jerry L Woolum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467464446 | NPI | - | NPPES |
64154586 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 15458 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Arh Mary Breckinridge Health Services, Inc. | 8123293818 | 53 |
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. Mr Jerry L Woolum allows following entities to bill medicare on his behalf.
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053983908 PECOS PAC ID: 8123293818 Enrollment ID: O20170316001594 |
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Entity Name | Arh Mary Breckinridge Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184156036 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
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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. Mr Jerry L Woolum 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 Address | Practice Location Address |
Mr Jerry L Woolum, MD 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 Ph: (606) 545-4460 | Mr Jerry L Woolum, MD 80 Hospital Dr Ste 2, Barbourville, KY 40906-7363 Ph: (606) 545-4460 |
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