| Stag Blair Shadduck, | |
|
560 S Loop Rd, Edgewood, KY 41017-3405 | |
| (859) 301-2663 | |
| (859) 817-7848 |
| Full Name | Stag Blair Shadduck |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 560 S Loop Rd, Edgewood, 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 |
|---|---|---|---|
| 1962093674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC072 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 145 |
| Mailing Address | Practice Location Address |
|---|---|
| Stag Blair Shadduck, 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Stag Blair Shadduck, 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 |
Mrs. Courtney E Coffey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-9010 Fax: 859-301-9018 | |
Mr. Spencer Herbert Cole, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 659-301-0655 | |
Deborah Joy Barnett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Miss Casey Lynn Doty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr # 254, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Catherine Kremer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 | |
Mr. Matthew Giese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-301-0655 | |
Emily Julia Williams, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2465 Fax: 859-301-4941 |