| Gary James Hackett, PA-C | |
|
2845 Chancellor Dr, Crestview Hills, KY 41017-3418 | |
| (859) 426-4200 | |
| (859) 426-4206 |
| Full Name | Gary James Hackett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 2845 Chancellor Dr, Crestview Hills, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003081258 | NPI | - | NPPES |
| 7100050170 | Medicaid | KY | |
| CB8861 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA1110 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary James Hackett, PA-C 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Gary James Hackett, PA-C 2845 Chancellor Dr, Crestview Hills, KY 41017-3418 Ph: (859) 426-4200 |
Kelsey Marie Franxman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3575 | |
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 | |
Stacey L Shadix, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-3172 | |
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 |