Kelly Hinkle Pugh, PA-C is a medicare enrolled "Physician Assistant" in Loudon, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Pllc and her current practice location is
202 Dohi Dr, Loudon, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 205-3025.
Kelly Hinkle Pugh is licensed to practice in Tennessee (license number 4502) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447839105.
Provider's Profile
| Full Name | Kelly Hinkle Pugh |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 202 Dohi Dr, Loudon, Tennessee |
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| Accepts Medicare Assignments | Yes. She 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:
- Kelly Hinkle Pugh attended and graduated from Lincoln Memorial University Medical Department in 2020
NPI Data:
- NPI Number: 1447839105
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113322348
- Enrollment ID: I20210825003047
Medical Identifiers
Medical identifiers for Kelly Hinkle Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447839105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4502 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Medical Group, Pllc | 2860396330 | 515 |
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. Kelly Hinkle Pugh 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 |
|---|
Kelly Hinkle Pugh, PA-C
202 Dohi Dr,
Loudon, TN 37774-2851
Ph: () - | Kelly Hinkle Pugh, PA-C
202 Dohi Dr,
Loudon, TN 37774-2851
Ph: (865) 205-3025 |
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