| Dr James Wendall Killian, MD | |
|
402 Cumberland Ave, Williamsburg, KY 40769-1238 | |
| (606) 549-2656 | |
| (606) 549-2855 |
| Full Name | Dr James Wendall Killian |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 402 Cumberland Ave, Williamsburg, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649273467 | NPI | - | NPPES |
| 35670 | Other | KY | STATE LICENSE |
| Q022263 | Medicaid | TN | |
| 034305 | Other | TN | STATE LICENSE |
| 64017809 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34305 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 35670 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Beech Tree Health And Rehabilitation | Jellico, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dayspring Health Inc | 7214990746 | 12 |
| Entity Name | Dayspring Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013049469 PECOS PAC ID: 7214990746 Enrollment ID: O20041215000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Wendall Killian, MD Po Box 540, Jellico, TN 37762-0540 Ph: (423) 784-8492 | Dr James Wendall Killian, MD 402 Cumberland Ave, Williamsburg, KY 40769-1238 Ph: (606) 549-2656 |
Dr. Robert Wayne Cooper, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W # Wn, Suite 100, Williamsburg, KY 40769 Phone: 606-549-2933 Fax: 606-549-3036 | |
Nathaniel Douglas Dillon, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-549-0123 | |
Thomas Doncaster, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769 Phone: 606-549-2933 Fax: 606-549-3036 | |
Dr. Richard W Bailey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-549-5052 Fax: 606-549-2718 | |
Dr. Travis Jordan Sulfridge, DVM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 319 Tackett Creek Rd, Williamsburg, KY 40769 Phone: 606-549-5444 | |
Mr. Robert Lee Penn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 998 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-549-8154 |