| Jacey Cooper, | |
|
475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | |
| (606) 549-2930 | |
| Not Available |
| Full Name | Jacey Cooper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 475 N Highway 25 W Ste 100, Williamsburg, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689486458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 7082 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA3827 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williamsburg Family Medicine Center | 2365331188 | 7 |
| Entity Name | Williamsburg Family Medicine Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376689620 PECOS PAC ID: 2365331188 Enrollment ID: O20041108001285 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacey Cooper, Po Box 247, Jellico, TN 37762-0247 Ph: Not Available | Jacey Cooper, 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 Ph: (606) 549-2930 |
Mrs. Sarah Beth Mcqueen, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 423-784-5771 |
Paul C Henson, P.A.C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769 Phone: 606-549-1183 Fax: 606-549-4900 |
Mr. Jonathan Tyler White, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 606-549-2656 |
Melissa Rose Hamby, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1047 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-549-2656 |
Laura Reed, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 606-549-2656 Fax: 606-549-2855 |
Mrs. Candice Morgan Shepherd, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7527 College Station Dr, Williamsburg, KY 40769 Phone: 606-539-4550 |
Mr. Clayton Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 606-549-2656 Fax: 606-549-2855 |