| Stacey L Shadix, PA-C | |
|
2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 | |
| (859) 341-5400 | |
| (859) 578-3172 |
| Full Name | Stacey L Shadix |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2865 Chancellor Dr, Crestview Hills, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316015910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50-00-2367 (Ohio) | Secondary |
| 363A00000X | Physician Assistant | PA1136 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L Shadix, PA-C 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 Ph: (859) 341-5400 | Stacey L Shadix, PA-C 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 Ph: (859) 341-5400 |
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 | |
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 | |
Andrea C Green, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 Phone: 859-426-0800 Fax: 859-426-4140 | |
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: Medicare Enrolled 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 |