| Johnathan O'neil Davidson, PA-C | |
|
200 Medical Center Dr, Hazard, KY 41701 | |
| (606) 439-6779 | |
| (606) 487-8448 |
| Full Name | Johnathan O'neil Davidson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 200 Medical Center Dr, Hazard, 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 |
|---|---|---|---|
| 1295214047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2393 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Whitesburg Arh Hospital | Whitesburg, KY | Hospital |
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Regional Healthcare Inc | 0840107835 | 301 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417045998 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Arh Tug Valley Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588328967 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan O'neil Davidson, PA-C 200 Medical Center Dr, Hazard, KY 41701-9466 Ph: Not Available | Johnathan O'neil Davidson, PA-C 200 Medical Center Dr, Hazard, KY 41701 Ph: (606) 439-6779 |
Beverly Paige Lewis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0096 |
Mary A Engle, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752 |
Brett Marvin Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-449-6600 |
Crystal D Gibson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Town And Country Ln, Suite 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 |
Sherry Larrisa Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 |
Tiffany Edmonson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-706-2611 |
Kelly Denise Goins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1908 N Main St Ste 120, Hazard, KY 41701 Phone: 606-439-2662 Fax: 606-439-4738 |