| Jill Ann Spackman, PA | |
|
650 Joel Dr, Fort Campbell, KY 42223 | |
| (270) 956-0336 | |
| Not Available |
| Full Name | Jill Ann Spackman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 650 Joel Dr, Fort Campbell, 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 |
|---|---|---|---|
| 1093940173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1086080 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Enterprise Llc | 5496998155 | 70 |
| Entity Name | Urgent Care Enterprise LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477087658 PECOS PAC ID: 5496998155 Enrollment ID: O20170808002289 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Ann Spackman, PA 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: Not Available | Jill Ann Spackman, PA 650 Joel Dr, Fort Campbell, KY 42223 Ph: (270) 956-0336 |
Terry A Thomas Jr, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0336 |
Christopher Alyn Peterson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-3535 |
Gregory Hershey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8727 Fax: 270-956-0180 |
Matthew Bedinghaus, Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 |
Mark Leon Siebe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 |
Jessica Johns, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-798-4677 |
Luke Alden Sward, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 |