Mary Alice Disselkamp, PA-C - Medicare Physician Assistant in Elizabethtown, KY

Mary Alice Disselkamp, PA-C is a medicare enrolled "Physician Assistant" in Elizabethtown, Kentucky. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Radiology Associates Inc and her current practice location is 2407 Ring Rd Ste 108, Elizabethtown, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 706-5787.

Mary Alice Disselkamp is licensed to practice in Kentucky (license number ) 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 1043876170.

Contact Information

Mary Alice Disselkamp, PA-C
2407 Ring Rd Ste 108,
Elizabethtown, KY 42701-5938
(270) 706-5787
(270) 706-5788

Map and Direction




Provider's Profile

Full NameMary Alice Disselkamp
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location2407 Ring Rd Ste 108, Elizabethtown, 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:
  • Mary Alice Disselkamp graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1043876170
  • Provider Enumeration Date: 05/14/2019
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971834557
  • Enrollment ID: I20191011002558

Medical Identifiers

Medical identifiers for Mary Alice Disselkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043876170NPI-NPPES

Medical Taxonomies and Licenses

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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hardin Memorial HospitalElizabethtown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Associates Inc943604525948

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. Mary Alice Disselkamp 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
Mary Alice Disselkamp, PA-C
2407 Ring Rd Ste 108,
Elizabethtown, KY 42701-5938

Ph: (270) 706-5787
Mary Alice Disselkamp, PA-C
2407 Ring Rd Ste 108,
Elizabethtown, KY 42701-5938

Ph: (270) 706-5787

Reviews and Comments


Physician Assistant Nurses in Elizabethtown, KY

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Medicare: Medicare Enrolled
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Phone: 877-783-6257    
Mrs. Carla Renee Fray, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Financial Pl Ste 104, Elizabethtown, KY 42701
Phone: 270-765-5127    Fax: 270-765-5337
Mr. Brandon Chase Wampler, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2412 Ring Rd Ste 200, Elizabethtown, KY 42701
Phone: 270-765-5926    Fax: 270-763-0051
Mr. Edward F Sorace, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1111 Ring Rd, Workwell, Elizabethtown, KY 42701
Phone: 270-706-5621    Fax: 270-706-5329

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.