Jacob Andrew Bingham
Individual provider Active NPI Physician Assistant · Morehead, KY
NPI 1386337087 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1386337087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 316 W 2ND St
Morehead, KY 40351-1550 - Phone
- (606) 784-2636
- NPI assigned
- May 30, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Claire Medical Center Inc
Practice addresses (Care Compare)
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Hospital & facility affiliations
- St Claire Regional Medical Center
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 |
|---|---|---|---|---|
| I20240327003787 | KY | Practitioner - Physician Assistant | 9234576034 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Medical Center, Inc | Current |
Accepting new patients | |
| St Claire Medical Center, Inc., | Physician Assistant | Current |
Accepting new patients |
Locations
316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
316 W 2ND St
Morehead, KY 40351-1550
Mailing address
PO Box 574
Hindman, KY 41822-0574
Phone (606) 497-5338
Other providers in Morehead, KY
- Behavioral Health Outpatient, LLC
- Cecelia Bellew
- Robert Bentley III
- Ashley Elizabeth Berry
- Chassity Betzing
- Bio-Medical Applications of Kentucky, Inc.
- Black & Carpenter PSC
- John Hunter Black
- Gabrielle Blackburn
- Shane Blackburn
All providers in Morehead, 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 May 30, 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).
- 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.