Maria Elaine Barnes
Individual provider Active NPI Physician Assistant · Edgewood, KY
NPI 1427636232 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1427636232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2763 (KY)
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-2465
- Fax
- (859) 301-4941
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20210413001402 | KY | Practitioner - Physician Assistant | 5890103865 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Physician Assistant | Current |
Accepting new patients |
| St Elizabeth Medical Center, Inc | Current |
Accepting new patients | |
| St. Elizabeth Medical Center, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
20 Medical Village Dr
Ste 204
Edgewood, KY 41017
Phone (859) 301-5959
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA2763 | KY | Yes |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 636324
Cincinnati, OH 45263-6324
Phone (859) 344-5555
Other providers in Edgewood, KY
- Bradley James Bankers
- Mark Joseph Barbara
- David Lee Barber
- James F Bardgett Jr.
- Nina Marie Barhorst
- Mary Ann Barnes
- Matthew George Barnes
- Bradley J Barnett
- Deborah Joy Barnett
- Grant Russell Barnett
All providers in Edgewood, 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 Jul 1, 2021. 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.