Individual provider Active NPI

Bethany McClure, PA-C

  • Physician Assistant
  • Morehead, KY
National Provider Identifier
1164791505
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1694 Issued in KY
Practice address
2300 Ky 801 North
Morehead, KY 40351
Phone
(606) 548-5550
NPI assigned
Dec 14, 2011
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1694 KY Primary

Addresses

Primary practice location

2300 Ky 801 North
Morehead, KY 40351

Mailing address

316 W 2ND St
Morehead, KY 40351-1550
Phone (606) 784-3771

Other practice location 1

784 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-9190

Other practice location 2

125 Foxglove Dr Ste C
MT Sterling, KY 40353-9735
Phone (859) 498-3333

Other practice location 3

17 Miller Dr
Owingsville, KY 40360-2212
Phone (606) 674-3033

Other practice location 4

316 W 2nd St
Morehead, KY 40351-1550
Phone (606) 784-3771

Other identifiers 3

IdentifierTypeStateIssuer
K370051OtherKYMEDICARE
PA1694OtherKYKY PA LICENSE
7100188980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20120123000372 KY Practitioner - Physician Assistant 6800063470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

2300 Ky 801
Morehead,, KY 40351-8995
Phone (606) 548-5550

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1694KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc Current Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 3, 2023 Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Jul 3, 2023 Accepting new patients
St Claire Medical Center, Inc CurrentSince Dec 1, 2011 Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center,Inc CurrentSince Dec 1, 2011 Accepting new patients
Sterling Toxicology LLC PastSince Jan 26, 2020 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6500

2300 KY Highway 801 N
Morehead, KY 40351
Phone (606) 548-5546

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: bethany.mcclure.1@13661.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1164791505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 KY 801 NORTH",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-548-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "403228123",
            "country_code": "US",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Foxglove Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403539735",
            "country_code": "US",
            "telephone_number": "859-498-3333",
            "fax_number": "859-498-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Miller Dr",
            "address_purpose": "LOCATION",
            "city": "Owingsville",
            "state": "KY",
            "postal_code": "403602212",
            "country_code": "US",
            "telephone_number": "606-674-3033",
            "fax_number": "606-674-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511550",
            "country_code": "US",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K370051",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY PA LICENSE",
            "identifier": "PA1694",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.