Mrs Suzanne Michelle Fernbach, PA-C is a medicare enrolled "Physician Assistant" in Crittenden, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Inc, Summit Medical Group, Inc and her current practice location is
405 Violet Rd, Crittenden, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 903-0268.
Mrs Suzanne Michelle Fernbach is licensed to practice in Kentucky (license number PA646) 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 1366539652.
Provider's Profile
| Full Name | Mrs Suzanne Michelle Fernbach |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 405 Violet Rd, Crittenden, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Suzanne Michelle Fernbach attended and graduated from University Of Kentucky College Of Medicine in 2001
NPI Data:
- NPI Number: 1366539652
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092610535
- Enrollment ID: I20090409000039
Medical Identifiers
Medical identifiers for Mrs Suzanne Michelle Fernbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366539652 | NPI | - | NPPES |
| 95002804 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10002914A (Indiana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA646 (Kentucky) | Secondary |
| 363A00000X | Physician Assistant | PA646 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group, Inc | 2163326240 | 693 |
| Summit Medical Group, Inc | 2163326240 | 693 |
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. Mrs Suzanne Michelle Fernbach 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 Address | Practice Location Address |
|---|
Mrs Suzanne Michelle Fernbach, PA-C
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 903-0268 | Mrs Suzanne Michelle Fernbach, PA-C
405 Violet Rd,
Crittenden, KY 41030-8956
Ph: (859) 903-0268 |
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