| Mr Jason R Southall, PA-C | |
|
2 Stonecrest Dr, Huntington, WV 25701-9391 | |
| (304) 525-2273 | |
| (304) 525-2165 |
| Full Name | Mr Jason R Southall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 2 Stonecrest Dr, Huntington, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316117930 | NPI | - | NPPES |
| 1316117930 | Medicaid | WV | |
| 0080128 | Medicaid | OH | |
| P0071530 | Other | WV | RR |
| 7100109950 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 01257 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Medical Center | Huntington, WV | Hospital |
| Cabell Huntington Hospital, Inc | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Occumed Llc | 6507864899 | 9 |
| St. Mary's Medical Management, Llc | 5890897151 | 92 |
| Entity Name | University Physicians & Surgeons, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331 |
| Entity Name | Occumed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639289937 PECOS PAC ID: 6507864899 Enrollment ID: O20061121000309 |
| Entity Name | St. Mary's Medical Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 |
| Entity Name | St. Mary's Himg, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184233454 PECOS PAC ID: 8729406459 Enrollment ID: O20200914000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason R Southall, PA-C 2 Stonecrest Dr, Huntington, WV 25701-9391 Ph: (304) 525-2273 | Mr Jason R Southall, PA-C 2 Stonecrest Dr, Huntington, WV 25701-9391 Ph: (304) 525-2273 |
Stephanie Nicole Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave Rm 1025, Huntington, WV 25702 Phone: 304-399-7484 Fax: 304-399-7579 |
Taylor Alexandra Sowards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-563-9169 |
Serena Mansoor, STUDENT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-696-6035 |
Sheri Mcgown, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-526-1436 |
Kerry S. Brinager, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Stonecrest Dr, Huntington, WV 25701 Phone: 304-525-2273 Fax: 304-525-2165 |
Gracen Lily Kuhner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-733-7798 |
Erika Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1542 Spring Valley Dr, Huntington, WV 25704 Phone: 304-696-6035 |