| Jason Aaron Canterberry, PA-C | |
|
510 Ruby Dr, Madisonville, KY 42431-2168 | |
| (270) 399-7900 | |
| (270) 399-7910 |
| Full Name | Jason Aaron Canterberry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 510 Ruby Dr, 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 |
|---|---|---|---|
| 1588086433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9107697 (Florida) | Primary |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| 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 | Crittenden Community Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275097339 PECOS PAC ID: 8426398793 Enrollment ID: O20190606001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Aaron Canterberry, PA-C Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | Jason Aaron Canterberry, PA-C 510 Ruby Dr, Madisonville, KY 42431-2168 Ph: (270) 399-7900 |
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 |
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 |
Eric M. Hofmann, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-821-0066 Fax: 270-821-6580 |
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 |