Kelly Jane Coburn, PA-C - Medicare Physician Assistant in Edgewood, KY

Kelly Jane Coburn, PA-C is a medicare enrolled "Physician Assistant" in Edgewood, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 301-4000.

Kelly Jane Coburn is licensed to practice in Kentucky (license number PA2674) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528654258.

Contact Information

Kelly Jane Coburn, PA-C
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 301-4000
(859) 301-3962

Map and Direction




Provider's Profile

Full NameKelly Jane Coburn
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Jane Coburn graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1528654258
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911311154
  • Enrollment ID: I20220816003399

Medical Identifiers

Medical identifiers for Kelly Jane Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528654258NPI-NPPES
50.006598OtherOHPHYSICIAN ASSISTANT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2674 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jane Coburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Jane Coburn, PA-C
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 344-5555
Kelly Jane Coburn, PA-C
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 301-4000

Reviews and Comments


Physician Assistant Nurses in Edgewood, KY

Mrs. Courtney E Coffey, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-9010    Fax: 859-301-9018
Mr. Spencer Herbert Cole, MPAS, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 659-301-0655
Deborah Joy Barnett, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-578-5880    Fax: 859-578-5881
Miss Casey Lynn Doty, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr # 254, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Catherine Kremer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 859-817-7848
Mr. Matthew Giese, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 859-301-0655
Emily Julia Williams,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Village Drive, Edgewood, KY 41017
Phone: 859-301-2465    Fax: 859-301-4941

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.