| Lia Back, PA | |
|
1221 S Broadway, Lexington, KY 40504-2701 | |
| (859) 258-4000 | |
| (859) 258-6203 |
| Full Name | Lia Back |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 1221 S Broadway, Lexington, 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 |
|---|---|---|---|
| 1669486197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA435 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Saint Joseph London | London, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Of Kentucky Pllc | 9133483894 | 78 |
| Entity Name | New Lexington Clinic PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Concord Medical Group of Kentucky PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Lia Back, PA 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-6200 | Lia Back, PA 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-4000 |
Oleva C Schoedlbauer, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504 Phone: 859-258-6760 Fax: 859-258-6512 |
Mr. James Ransom Adair, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1740 Nicholasville Rd, Lexington, KY 40503 Phone: 859-277-8179 Fax: 859-277-9320 |
Mr. David C Atkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3085 Lakecrest Cir, Lexington, KY 40513 Phone: 859-258-8600 Fax: 859-258-8610 |
Emily Megan Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 Nicholasville Rd, Ste 601, Lexington, KY 40503 Phone: 859-277-5887 Fax: 859-276-7659 |
Samuel Adam Cundiff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1350 Bull Lea Rd, Lexington, KY 40511 Phone: 859-246-8000 Fax: 859-246-8032 |
Remington Kyle Jones, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Beaumont Centre Cir Ste 100, Lexington, KY 40513 Phone: 859-323-5544 Fax: 859-257-9286 |
Lindsay Elizabeth Baechtold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone Ste L119, Lexington, KY 40536 Phone: 859-257-3253 Fax: 859-323-1203 |