| Mr Jonathan Tyler White, PA | |
|
402 Cumberland Ave, Williamsburg, KY 40769-1238 | |
| (606) 549-2656 | |
| Not Available |
| Full Name | Mr Jonathan Tyler White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 402 Cumberland Ave, Williamsburg, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154998540 | NPI | - | NPPES |
| 5318 | Other | TN | STATE LICENSE |
| PA2916 | Other | KY | KY MEDICAL LICENSE |
| 7100770770 | Medicaid | KY | |
| TC120 | Other | KY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5318 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA2916 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dayspring Health Inc | 7214990746 | 17 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Tyler White, PA 107 S Main St, Jellico, TN 37762-2154 Ph: (423) 784-8492 | Mr Jonathan Tyler White, PA 402 Cumberland Ave, Williamsburg, KY 40769-1238 Ph: (606) 549-2656 |
Mrs. Sarah Beth Mcqueen, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 423-784-5771 | |
Paul C Henson, P.A.C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769 Phone: 606-549-1183 Fax: 606-549-4900 | |
Laura Reed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 606-549-2656 Fax: 606-549-2855 | |
Mrs. Candice Morgan Shepherd, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7527 College Station Dr, Williamsburg, KY 40769 Phone: 606-539-4550 | |
Mr. Clayton Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Cumberland Ave, Williamsburg, KY 40769 Phone: 606-549-2656 Fax: 606-549-2855 | |
Mr. Aaron Dewayne Petrey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W Ste 100, Williamsburg, KY 40769 Phone: 606-549-2930 |