| Mary Alice Disselkamp, PA-C | |
|
2407 Ring Rd Ste 108, Elizabethtown, KY 42701-5938 | |
| (270) 706-5787 | |
| (270) 706-5788 |
| Full Name | Mary Alice Disselkamp |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2407 Ring Rd Ste 108, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043876170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 1934 |
| Radiology Associates Inc | 9436045259 | 48 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Disselkamp, PA-C 2407 Ring Rd Ste 108, Elizabethtown, KY 42701-5938 Ph: (270) 706-5787 | Mary Alice Disselkamp, PA-C 2407 Ring Rd Ste 108, Elizabethtown, KY 42701-5938 Ph: (270) 706-5787 |
Abigail Hague Patterson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1005 Deerbourne Ct, Elizabethtown, KY 42701 Phone: 270-317-0527 | |
Kelly Hart, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 Financial Drive, Suite 100, Elizabethtown, KY 42701 Phone: 270-769-0110 Fax: 270-765-6953 | |
Bevan Burch Evans, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 877-783-6257 | |
Mrs. Carla Renee Fray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Financial Pl Ste 104, Elizabethtown, KY 42701 Phone: 270-765-5127 Fax: 270-765-5337 | |
Mr. Brandon Chase Wampler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 157 Towne Dr Ste 103, Elizabethtown, KY 42701 Phone: 270-765-5926 Fax: 270-765-5926 | |
Mr. Edward F Sorace, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 Ring Rd, Workwell, Elizabethtown, KY 42701 Phone: 270-706-5621 Fax: 270-706-5329 |