| Krista L Jackson, PA-C | |
|
313 West St, Paintsville, KY 41240-1054 | |
| (606) 788-6415 | |
| (606) 372-6001 |
| Full Name | Krista L Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 313 West St, Paintsville, 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 |
|---|---|---|---|
| 1457330227 | NPI | - | NPPES |
| 95003141 | Medicaid | KY | |
| 000000520426 | Other | KY | BCBS |
| P00290504 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 586 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paintsville Arh Hospital | Paintsville, KY | Hospital |
| Highlands Arh Regional Medical Center | Prestonsburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arh Tug Valley Health Services, Inc. | 4183953805 | 108 |
| 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 |
|---|---|
| Krista L Jackson, PA-C 313 West St, Paintsville, KY 41240-1054 Ph: (606) 788-6415 | Krista L Jackson, PA-C 313 West St, Paintsville, KY 41240-1054 Ph: (606) 788-6415 |
Kenzie Nicole Hammond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Mayo Trl, Paintsville, KY 41240 Phone: 606-887-6145 Fax: 844-464-1174 |
Ms. Donetta Wallace, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 336 N Mayo Trl, Paintsville, KY 41240 Phone: 606-789-8666 Fax: 606-788-0253 |
Kelley D Cochran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 S Mayo Trl Ste B, Paintsville, KY 41240 Phone: 606-789-6464 Fax: 606-789-6466 |
Joseph A. Isaac, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 625 James S. Trimble Blvd., Paintsville, KY 41240 Phone: 606-789-3511 Fax: 606-789-1432 |
Loretta P Belhasen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 838 S Mayo Trl, Paintsville, KY 41240 Phone: 606-789-8749 Fax: 606-789-2060 |