Brendon M Coughtry, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Campbellsville, Kentucky. His current practice location is
99 Wellpark Lane, Ste 4, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 260-8613.
Brendon M Coughtry is licensed to practice in Kentucky (license number 42072) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669514840.
Physician's Profile
| Full Name | Brendon M Coughtry |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 99 Wellpark Lane, Campbellsville, Kentucky |
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| Accepts Medicare Assignments | Yes. He 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:
- Brendon M Coughtry attended and graduated from in
NPI Data:
- NPI Number: 1669514840
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brendon M Coughtry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669514840 | NPI | - | NPPES |
| 1563218 | Other | KY | WELLCARE OF KY PROVIDER ID NUMBER |
| 3406022 | Other | | CIGNA PROVIDER ID NUMBER |
| 000001155521 | Other | | ANTHEM PIN |
| 1669514840 | Medicaid | WV | |
| 102719KYIP | Other | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
| 30015488600001 | Medicaid | VA | |
| 7100051000 | Medicaid | KY | |
| 9276417 | Other | | AETNA PROVIDER ID NUMBER |
| 2950152 | Other | | UNITED HEALTHCARE PROVIDER ID NUMBER |
| 300012018 | Medicaid | IN | |
| CS1815900343 | Other | | CARESOURCE PROVIDER ID NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 42072 (Kentucky) | Primary |
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. Brendon M Coughtry 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 |
|---|
Brendon M Coughtry, MD
Po Box 21890,
Belfast, ME 04915-4115
Ph: (502) 907-0356 | Brendon M Coughtry, MD
99 Wellpark Lane, Ste 4,
Campbellsville, KY 42718-4919
Ph: (606) 260-8613 |
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