Miss Jill Delana Short, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Louisa, Kentucky. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Three Rivers Medical Clinics Inc and her current practice location is
412 N Lock Ave, Louisa, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 638-4595.
Miss Jill Delana Short is licensed to practice in Kentucky (license number PA442) 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 1619143146.
Provider's Profile
| Full Name | Miss Jill Delana Short |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 412 N Lock Ave, Louisa, Kentucky |
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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:
- Miss Jill Delana Short graduated from nursing school in 1998
NPI Data:
- NPI Number: 1619143146
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 04/23/2010
Medicare PECOS Information:
- PECOS PAC ID: 7911021316
- Enrollment ID: I20100907000668
Medical Identifiers
Medical identifiers for Miss Jill Delana Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619143146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA442 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Three Rivers Medical Clinics Inc | 7315845047 | 29 |
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. Miss Jill Delana Short 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 |
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Miss Jill Delana Short, PHYSICIAN ASSISTANT
606 Lincoln Ave,
Paintsville, KY 41240-1470
Ph: (606) 638-4595 | Miss Jill Delana Short, PHYSICIAN ASSISTANT
412 N Lock Ave,
Louisa, KY 41230-1115
Ph: (606) 638-4595 |
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