Josiah Ethan Zachary, MD is a medicare enrolled "Family Medicine" physician in Dixon, Kentucky. His current practice location is
1355 Us Highway 41a S, Dixon, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 639-9101.
Josiah Ethan Zachary is licensed to practice in Kentucky (license number 58535) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336757152.
Physician's Profile
| Full Name | Josiah Ethan Zachary |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1355 Us Highway 41a S, Dixon, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1336757152
- Provider Enumeration Date: 07/17/2020
- Last Update Date: 08/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395169593
- Enrollment ID: I20231024002636
Medical Identifiers
Medical identifiers for Josiah Ethan Zachary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336757152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11021404A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 58535 (Kentucky) | Primary |
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. Josiah Ethan Zachary allows following entities to bill medicare on his behalf.
| Entity Name | Deaconess Clinic Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891941688
PECOS PAC ID: 3375610116
Enrollment ID: O20081017000259 |
|---|
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. Josiah Ethan Zachary 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 |
|---|
Josiah Ethan Zachary, MD
1355 Us Highway 41a S,
Dixon, KY 42409-9447
Ph: (270) 639-9101 | Josiah Ethan Zachary, MD
1355 Us Highway 41a S,
Dixon, KY 42409-9447
Ph: (270) 639-9101 |
Reviews and Comments