| Mr Jerry Wesley Clevinger, PA-C | |
|
617 Chamberlin Ave, Frankfort, KY 40601-4220 | |
| (502) 699-2285 | |
| Not Available |
| Full Name | Mr Jerry Wesley Clevinger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 617 Chamberlin Ave, Frankfort, Kentucky |
| 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 |
|---|---|---|---|
| 1609560911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA3210 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2431 |
| Southeastern Emergency Physicians Llc | 2466364997 | 776 |
| 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 | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982178216 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Wesley Clevinger, PA-C 617 Chamberlin Ave, Frankfort, KY 40601-4220 Ph: (502) 699-2285 | Mr Jerry Wesley Clevinger, PA-C 617 Chamberlin Ave, Frankfort, KY 40601-4220 Ph: (502) 699-2285 |
Mrs. Nisha Ashok Patel Prabhu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Versailles Rd, Frankfort, KY 40601 Phone: 502-695-3946 |
Robin Horne Lapsley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 299 Kings Daughters Dr, Frankfort, KY 40601 Phone: 502-875-5240 |
Cora E Mikesell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 299 Kings Daughters Dr, Frankfort, KY 40601 Phone: 502-875-5240 |
Stacy M Taluskie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Medical Heights Dr, Suite M, Frankfort, KY 40601 Phone: 502-227-7538 Fax: 502-227-9248 |
Mrs. Lindsay Jean Cassaro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Versailles Rd, Frankfort, KY 40601 Phone: 502-695-3946 Fax: 502-695-3847 |
Brittany Gillstrap Denniston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Leawood Dr Ste C, Frankfort, KY 40601 Phone: 502-223-0231 Fax: 502-227-1871 |
Brandy Nicole Hammond Farmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 Us Highway 127 S, Frankfort, KY 40601 Phone: 502-229-3954 |