| Amerah Rutherford, PA | |
|
56 Marie Langdon Dr, Manchester, KY 40962-6329 | |
| (606) 599-4080 | |
| (606) 598-1688 |
| Full Name | Amerah Rutherford |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 56 Marie Langdon Dr, Manchester, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427672872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | New Lexington Clinic PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558665752 PECOS PAC ID: 4486616141 Enrollment ID: O20141202002193 |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255471827 PECOS PAC ID: 4486616141 Enrollment ID: O20141210002155 |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881112134 PECOS PAC ID: 4486616141 Enrollment ID: O20180529001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Amerah Rutherford, PA 518 17th St, Corbin, KY 40701-1923 Ph: Not Available | Amerah Rutherford, PA 56 Marie Langdon Dr, Manchester, KY 40962-6329 Ph: (606) 599-4080 |
Mrs. Crystal Yeager, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 56 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-599-4080 Fax: 606-598-1688 |
Kylee Morris, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 56 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-599-4080 |
Jessica Napier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 56 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-599-4080 Fax: 606-598-1688 |
Alicia D. Myers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Glenndale Rd, Suite 1, Manchester, KY 40962 Phone: 606-599-2508 Fax: 606-599-2507 |