| Mikayla Ellen Stumbo, PA | |
|
127 Ted Stumbo Dr, Harold, KY 41635-7022 | |
| (859) 323-1100 | |
| Not Available |
| Full Name | Mikayla Ellen Stumbo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 127 Ted Stumbo Dr, Harold, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952981268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC145 (Kentucky) | Primary |
| Entity Name | Southern Medical Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Floyd Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760834345 PECOS PAC ID: 6608164488 Enrollment ID: O20161011001337 |
| Entity Name | Green Valley Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Ellen Stumbo, PA 127 Ted Stumbo Dr, Harold, KY 41635-7022 Ph: (859) 948-9127 | Mikayla Ellen Stumbo, PA 127 Ted Stumbo Dr, Harold, KY 41635-7022 Ph: (859) 323-1100 |
Jenny G Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 246 Ky Route 979, Harold, KY 41635 Phone: 606-478-2200 Fax: 866-310-9947 |
Brian L. Hunter, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Left Penhook Rd, Harold, KY 41635 Phone: 606-285-6690 Fax: 606-478-4801 |