Suzanne Kelly Yount, PA
Individual provider Active NPI Medical Physician Assistant · Lily, KY
NPI 1164534152 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1164534152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA180 (KY)
- Practice address
- U.S. Hwy 25 South
U.S. Hwy 25 South
Lily, KY 40740 - Phone
- (606) 523-1660
- Fax
- (606) 523-1665
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
-
David J Hays, MD
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2659 N Laurel Rd
P.O. Box 495
East Bernstadt, KY 40729
PO Box
Suite 495
East Bernstadt, KY 40729-0495
Hospital & facility affiliations
- Saint Joseph London
- Baptist Health Corbin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20070716000194 | KY | Practitioner - Physician Assistant | 2961502299 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA180 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bernstadt Medical Clinic PLLC | Medical | Current | Accepting new patients |
| East Bernstadt Medical Clinic PLLC | Current |
Accepting new patients | |
| East Bernstadt Medical Clinic PLLC | Medical | Past | Accepting new patients |
| Anand PSC | Past | Accepting new patients | |
| The Medical Specialists of Ky, PSC | Past | Accepting new patients | |
| East Bernstadt Medical Clinic | Past | Accepting new patients |
Locations
11901 N Highway 421
Manchester, KY 40962
Phone (606) 598-2706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA180 | KY | Yes |
Addresses
Primary practice location
U.S. Hwy 25 South
U.S. Hwy 25 South
Lily, KY 40740
Mailing address
U.S. Hwy 25 South
PO Box 750
Lily, KY 40740
Phone (606) 523-1660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000516118 | Other | KY | BCBS-EBMC |
| 000000516142 | Other | KY | BCBS-LCMC |
| 000000517349 | Other | KY | BCBS-BSMC |
| 000000516186 | Other | KY | BCBS-AMC |
Other providers in Lily, KY
- East Bernstadt Medical Clinic
- Kristen Ellis Perkins
- Deborah Louise Stanton
- Angela Marie Wagers
- Juanita Westerfield
All providers in Lily, KY · Medical 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 Nov 29, 2007. 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.