Brendon M Coughtry, MD in Campbellsville, KY - Medicare Interventional Pain Management

Brendon M Coughtry, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Campbellsville, Kentucky. He went to Medical College Of Georgia School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Commonwealth Pain Associates Pllc and 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.

Contact Information

	Brendon M Coughtry, MD
	99 Wellpark Lane, Ste 4, Campbellsville, KY 42718-4919
	(606) 260-8613
	(859) 977-2683

Map and Direction

Physician's Profile

Full Name	Brendon M Coughtry
Gender	Male
Speciality	Interventional Pain Management
Experience	21 Years
Location	99 Wellpark Lane, Campbellsville, 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.

Medical Education and Training:

Brendon M Coughtry attended and graduated from Medical College Of Georgia School Of Medicine in 2003

NPI Data:

NPI Number: 1669514840
Provider Enumeration Date: 02/13/2007
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9931277472
Enrollment ID: I20081010000045

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph London	London, KY	Hospital
Taylor Regional Hospital	Campbellsville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Pain Associates Pllc	0941441919	112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brendon M Coughtry allows following entities to bill medicare on his behalf.

Entity Name	Pikeville Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281

Entity Name	Commonwealth Pain Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577

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

Brendon M Coughtry, MD - Medicare Interventional Pain Management in Campbellsville, KY