| Brennon Chantz Gould, PA | |
|
175 Hospital Dr, Winchester, KY 40391-9591 | |
| (859) 737-8444 | |
| Not Available |
| Full Name | Brennon Chantz Gould |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 175 Hospital Dr, Winchester, 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 |
|---|---|---|---|
| 1376234237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC004 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Lexington | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 776 |
| Clark Emergency Physicians | 2961770268 | 20 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Clark Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346781499 PECOS PAC ID: 2961770268 Enrollment ID: O20170609000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Brennon Chantz Gould, PA 800 Rose St, Lexington, KY 40536-0001 Ph: Not Available | Brennon Chantz Gould, PA 175 Hospital Dr, Winchester, KY 40391-9591 Ph: (859) 737-8444 |
Miss Alexis Noel Budine-utter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Hospital Dr, Winchester, KY 40391 Phone: 859-737-6559 Fax: 859-737-6560 |
Macie Groh Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 Hospital Dr, Winchester, KY 40391 Phone: 859-737-8444 |
Logan Jacob Mann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 Hospital Dr, Winchester, KY 40391 Phone: 859-745-3500 |
Mrs. Jacqueline M Thiry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 218 S. Maple St., Winchester, KY 40391 Phone: 859-745-2861 Fax: 859-745-1978 |
Kurt S Schlenther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 Shoppers Dr, Winchester, KY 40391 Phone: 859-737-5333 Fax: 859-737-0070 |
James K Farris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 Shoppers Dr, Winchester, KY 40391 Phone: 859-737-5333 Fax: 859-737-0070 |
Allison Lea Christian, MPH, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Hospital Dr Ste 325, Winchester, KY 40391 Phone: 854-085-9737 |