| Eric M Hofmann, PA-C | |
|
1851 N Main St, Madisonville, KY 42431-9007 | |
| (270) 821-0066 | |
| (270) 821-6580 |
| Full Name | Eric M Hofmann |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1851 N Main St, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679510564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA748 (Kentucky) | Primary |
| Entity Name | North Fulton Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053456954 PECOS PAC ID: 6800981986 Enrollment ID: O20071004000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Hofmann, PA-C 1851 N Main St, Madisonville, KY 42431-9007 Ph: (270) 821-0066 | Eric M Hofmann, PA-C 1851 N Main St, Madisonville, KY 42431-9007 Ph: (270) 821-0066 |
Sandra Alexis Soriano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 |
Alicia F. Terry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 |
Mr. Roger E Ordal, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-326-6116 Fax: 270-326-6118 |
Nancy Katherine Drury, CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 |
Jason Aaron Canterberry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Ruby Dr, Madisonville, KY 42431 Phone: 270-399-7900 Fax: 270-399-7910 |
Tammy D Clayton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 |
Chastity Oakley, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Madisonville, KY 42431 Phone: 270-326-3900 Fax: 270-825-3411 |