Saint Joseph Health System Inc is a medicare enrolled "Otolaryngology" provider in London, Kentucky. Their current practice location is
1406 W 5th St Ste 1, London, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(606) 877-4579.
Saint Joseph Health System Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Saint Joseph Health System Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134553902.
Healthcare Provider's Profile
| Full Name | Saint Joseph Health System Inc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 1406 W 5th St Ste 1, London, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134553902
- Provider Enumeration Date: 08/28/2013
- Last Update Date: 08/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183641400
- Enrollment ID: O20131227001808
Medical Identifiers
Medical identifiers for Saint Joseph Health System Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134553902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Saint Joseph Health System Inc acts as a billing entity for following providers:
| Provider Name | Daena C Wilds |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1285739417
PECOS PAC ID: 1355480401
Enrollment ID: I20091202000338 |
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| Provider Name | Robert E Wilson |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1861646374
PECOS PAC ID: 0446303515
Enrollment ID: I20110614000426 |
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| Provider Name | Jessica L Lange |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1760746150
PECOS PAC ID: 1052635661
Enrollment ID: I20170725000819 |
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| Provider Name | Kaci M Wathen |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1144710419
PECOS PAC ID: 6103176508
Enrollment ID: I20180905003596 |
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| Provider Name | Jessica Elizabeth Minnick |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1255827788
PECOS PAC ID: 6709139132
Enrollment ID: I20191211001773 |
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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. Saint Joseph Health System Inc 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 |
|---|
Saint Joseph Health System Inc
1406 W 5th St Ste 1,
London, KY 40741-1688
Ph: (606) 877-4579 | Saint Joseph Health System Inc
1406 W 5th St Ste 1,
London, KY 40741-1688
Ph: (606) 877-4579 |
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