Courtney Y Ledbetter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-001657 Issued in IL

Practice address

13245 Kessler Rd
Cairo, IL 62914-3101

Phone

(618) 734-4400

Fax

(618) 734-2884

NPI assigned

Aug 2, 2005

Last updated

Dec 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Illinois Union County Hospital IncGroup PAC ID 3072986025, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cledbe05@yourcarecommunity.org
• Direct secure messaging: cledbetter431647@direct.deaconess.com
• Direct secure messaging: courtney.ledbetter.1@27782.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deaconess Illinois Union County Hospital Inc

  dba Deaconess Illinois Rural Health Clinic Anna

  • Rural Health Clinic/Center
  • Anna, IL
  • NPI 1184340408
  Medicare reassignment Care Compare group
• Community Health & Emergency Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cairo, IL
  • NPI 1710979588
  Medicare reassignment NPD
• Deaconess Union County Hospital, Inc

  • Critical Access Hospital
  • Morganfield, KY
  • NPI 1497320519
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Illinois Union County Hospital Inc

  dba Deaconess Illinois Union County

  • Critical Access Hospital
  • Anna, IL
  • NPI 1710604483
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1023019916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-4400",
            "fax_number": "618-734-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-4400",
            "fax_number": "618-734-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "COURTNEY",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085001657",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lolita Houston, BA, MHP
• Franzelle Howard, BSW/MHP
• Tamela Michelle Hughes, B.S.W, M.H.P
• Charlette Jackson
• Marissa Cayenne Jackson
• Sheila Long, PHD, QMHP
• Robin Lynn Lutker, :LPN MHP
• Julie Kay Mason, LCPC
• Brittany Matthews, CNA
• Margaret McKenzie, MPA, QMHP

• Physician Assistant in Cairo, IL
• Providers in Cairo, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.