| Kimberly J Lashway, PA-C | |
|
200 Clint Hill Blvd, Paducah, KY 42001-6768 | |
| (270) 442-9461 | |
| (270) 441-0079 |
| Full Name | Kimberly J Lashway |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 200 Clint Hill Blvd, Paducah, 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 |
|---|---|---|---|
| 1235118662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002564 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | TC325 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Illinois Crossroads | Mount vernon, IL | Hospital |
| Deaconess Illinois Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 145 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Orthopaedic Institute of Western Kentucky PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497425177 PECOS PAC ID: 6204226061 Enrollment ID: O20220127000329 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J Lashway, PA-C 200 Clint Hill Blvd, Paducah, KY 42001-6768 Ph: (270) 442-9461 | Kimberly J Lashway, PA-C 200 Clint Hill Blvd, Paducah, KY 42001-6768 Ph: (270) 442-9461 |
Derick Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2603 Kentucky Ave Ste 102, Paducah, KY 42003 Phone: 270-228-3973 Fax: 270-359-5046 |
Reagan Poe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1903 Broadway St Ste B, Paducah, KY 42001 Phone: 270-444-8183 Fax: 270-444-8147 |
Mrs. Thu-trang Cleo Thi King, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2180 Fax: 270-575-8479 |
Ms. Madeline Wooten Blackwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 Fax: 270-538-9554 |
Mr. Brandon Howard Morehead, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2520 New Holt Rd Ste I, Paducah, KY 42001 Phone: 270-556-1488 |
Mrs. Linda Mae Moran, CERT SURG 1ST ASST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 275 Wedgewood Place, Paducah, KY 42001 Phone: 270-442-7167 Fax: 270-442-7167 |
Derek N Nance, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2150 Fax: 270-444-2985 |