Mr Jerry Wayne Iery, PA is a medicare enrolled "Physician Assistant - Medical" in South Shore, Kentucky. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lewis County Primary Care Center Inc and his current practice location is
142 Depot Dr, South Shore, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 932-2271.
Mr Jerry Wayne Iery is licensed to practice in Kentucky (license number PA983) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255416384.
Provider's Profile
| Full Name | Mr Jerry Wayne Iery |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 142 Depot Dr, South Shore, Kentucky |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Jerry Wayne Iery graduated from nursing school in 2006
NPI Data:
- NPI Number: 1255416384
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 04/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264439033
- Enrollment ID: I20070719000239
Medical Identifiers
Medical identifiers for Mr Jerry Wayne Iery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255416384 | NPI | - | NPPES |
| 7100017560 | Medicaid | KY | |
| 1074488 | Other | | NCCPA |
| 7100373870 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA983 (Kentucky) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1074488 (Ohio) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA983 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lewis County Primary Care Center Inc | 1153311774 | 79 |
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. Mr Jerry Wayne Iery 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 |
|---|
Mr Jerry Wayne Iery, PA
Po Box 550,
Vanceburg, KY 41179
Ph: (606) 796-3029 | Mr Jerry Wayne Iery, PA
142 Depot Dr,
South Shore, KY 41175
Ph: (606) 932-2271 |
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