Caitlyn Jervis, PA is a medicare enrolled "Physician Assistant - Medical" in Wayland, Kentucky. Her current practice location is
2643 King Kelly Coleman Hwy, Wayland, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 230-2255.
Caitlyn Jervis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497017669.
Provider's Profile
Full Name | Caitlyn Jervis |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 2643 King Kelly Coleman Hwy, Wayland, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497017669
- Provider Enumeration Date: 06/13/2012
- Last Update Date: 03/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991955163
- Enrollment ID: I20130104000172
Medical Identifiers
Medical identifiers for Caitlyn Jervis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497017669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. Caitlyn Jervis 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 |
Caitlyn Jervis, PA 140 Adams Ln Ste 300, Pikeville, KY 41501-3088 Ph: (606) 230-2255 | Caitlyn Jervis, PA 2643 King Kelly Coleman Hwy, Wayland, KY 41501 Ph: (606) 230-2255 |
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