| Mrs Amanda Mallory Spillman, PA-C | |
|
2845 Chancellor Dr, Crestview Hills, KY 41017-3418 | |
| (859) 301-2663 | |
| (859) 817-7841 |
| Full Name | Mrs Amanda Mallory Spillman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 2845 Chancellor Dr, Crestview Hills, 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 |
|---|---|---|---|
| 1881866689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2455 (Kentucky) | Primary |
| 363A00000X | Physician Assistant | 50.002712RX (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Medical Center North | Edgewood, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 163 |
| Entity Name | Orthocincy Orthopaedics & Sports Medicine PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598714560 PECOS PAC ID: 3173500196 Enrollment ID: O20040707000498 |
| Entity Name | Compass Emergency Physicians PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841696739 PECOS PAC ID: 8224350939 Enrollment ID: O20141209000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Mallory Spillman, PA-C 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Mrs Amanda Mallory Spillman, PA-C 2845 Chancellor Dr, Crestview Hills, KY 41017-3418 Ph: (859) 301-2663 |
Gary James Hackett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2845 Chancellor Dr, Crestview Hills, KY 41017 Phone: 859-426-4200 Fax: 859-426-4206 |
Kelsey Marie Franxman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3575 |
Ms. Colleen Marie Kennedy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3575 Fax: 859-341-5702 |
Stacey L Shadix, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-3172 |
Rachell L Brooks, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-4594 |
Mrs. Emily Nichole Bray, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2494 Legends Way, Crestview Hills, KY 41017 Phone: 859-750-0443 |
Mrs. Jessica Marie Gardner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3575 Fax: 859-341-5701 |