| Stacy Ritchie, | |
|
566 Hwy 899, Hindman, KY 41822 | |
| (606) 785-3164 | |
| (606) 785-0107 |
| Full Name | Stacy Ritchie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 566 Hwy 899, Hindman, 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 |
|---|---|---|---|
| 1184862088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA598 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Kentucky River Medical Center | Jackson, KY | Hospital |
| Highlands Arh Regional Medical Center | Prestonsburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain After Hours Clinic Psc | 0547170102 | 31 |
| Entity Name | Southern Medical Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Mountain After Hours Clinic PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477638880 PECOS PAC ID: 0547170102 Enrollment ID: O20040506000973 |
| Entity Name | Green Valley Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ritchie, 566 Hwy 899, Hindman, KY 41822 Ph: (606) 785-3164 | Stacy Ritchie, 566 Hwy 899, Hindman, KY 41822 Ph: (606) 785-3164 |
Kevin Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 396 Highway 899, Hindman, KY 41822 Phone: 606-785-9440 Fax: 606-252-0012 |