Sean E Maynard, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Campbellsville, Kentucky. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Taylor Regional Medical Group,llc and his current practice location is
73 Kingswood Dr, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 849-2379.
Sean E Maynard is licensed to practice in Kentucky (license number PA592) 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 1962494716.
Physician's Profile
| Full Name | Sean E Maynard |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 73 Kingswood Dr, Campbellsville, 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. |
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Medical Education and Training:
- Sean E Maynard graduated from medical school in 2000
NPI Data:
- NPI Number: 1962494716
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113059783
- Enrollment ID: I20100716000526
Medical Identifiers
Medical identifiers for Sean E Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962494716 | NPI | - | NPPES |
| 9500143400 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | PA592 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA592 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Taylor Regional Medical Group,llc | 4880616622 | 47 |
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. Sean E Maynard 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 |
|---|
Sean E Maynard, PA-C
67 Kingswood Dr,
Campbellsville, KY 42718-9647
Ph: (270) 465-3812 | Sean E Maynard, PA-C
73 Kingswood Dr,
Campbellsville, KY 42718-9604
Ph: (270) 849-2379 |
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