Jason Chandler Hook, PA
Individual provider Active NPI Physician Assistant · Louisville, KY
NPI 1114255486 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1114255486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1795 (KY)
- Practice address
- 3900 Kresge Way Ste 46
Louisville, KY 40207-4681 - Phone
- (502) 899-3858
- Fax
- (502) 899-3878
- NPI assigned
- Nov 25, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550
3900 Kresge Way
Louisville, KY 40207-4681
4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700
Hospital & facility affiliations
- Baptist Health Louisville
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130408000250 | KY | Practitioner - Physician Assistant | 5294970661 | Reassigns benefits to 1 organization |
| I20170803001556 | IN | Practitioner - Physician Assistant | 5294970661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1795 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Associates Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Owensboro Health Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
136 E Cottom Ave
New Albany, IN 47150
Phone (502) 583-8383
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
3900 Kresge Way
Ste 46
Louisville, KY 40207
Phone (502) 810-8002
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 99080994A | IN | |
| Physician Assistant | 363A00000X | PA1795 | KY | Yes |
Addresses
Primary practice location
3900 Kresge Way Ste 46
Louisville, KY 40207-4681
Mailing address
2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900
Other practice location 1
136 E Cottom Ave
New Albany, IN 47150-4604
Phone (502) 899-3858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100247140 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhook66465@bhkydirect.com |
Other providers in Louisville, KY
- Grace Zhao-Hua Hong
- Henry David Hood
- Sonia Ann Hood
- Ted Brian Hood
- Cynthia L Hook
- Patricia Hooker
- Robert Liles Hooker
- Terrice Hooks
- Jennifer Dyanne Wisbey Hooper
- Cheryl H Hoover-Kelley
All providers in Louisville, 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 Dec 7, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.