Rebecca Callie Newton, PA
Individual provider Active NPI Physician Assistant · Wilmore, KY
NPI 1104836089 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1104836089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA188 (KY)
- Practice address
- 100 Veterans Dr
Wilmore, KY 40390-9775 - Phone
- (859) 858-2814
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200103000434 | KY | Order and Referring Only - Physician Assistant | 5193776409 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA188 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA188 | KY | |
| Physician Assistant | 363A00000X | PA188 | KY | Yes |
Addresses
Primary practice location
100 Veterans Dr
Wilmore, KY 40390-9775
Mailing address
100 Veterans Dr
Wilmore, KY 40390-9775
Phone (859) 229-6740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95001889 | Medicaid | KY |
Other providers in Wilmore, KY
- Sheila Drake Melander
- Kathleen Jo Milans
- Cassandra Dawn Miller
- Jane Greenfield Moscoe
- David A Murphy
- Ernest Thompson O'Neal
- Julianne Ossege
- Stuart Lee Palmer
- Vivek R Patel
- Pedersen Chiropractic, PLLC
All providers in Wilmore, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.