Active NPI
Alicia D. Myers, PA-C
- Physician Assistant
- Manchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC110
- Practice address
- 65 Glenndale Rd
Suite 1
Manchester, KY 40962-6212 - Phone
- (606) 599-2508
- Fax
- (606) 599-2507
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC110 | KY | Primary |
Addresses
Primary practice location
65 Glenndale Rd
Suite 1
Manchester, KY 40962-6212
Mailing address
509 Memorial Dr
Suite 2
Manchester, KY 40962-6195
Phone (606) 598-5104
Other names 1
- Alicia D. Cook
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Newcomb Ave
Mt Vernon, KY 40456-2725
140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148
145 Newcomb Ave
Mount Vernon, KY 40456-2728
Hospital & facility affiliations
- Rockcastle County Hospital, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockcastle County Hospital, Inc. | Physician Assistant | Current | Accepting new patients |
| Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic | Physician Assistant | Current | Accepting new patients |
| Rockcastle County Hospital, Inc. | Current | Accepting new patients |
Locations
140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
Interoperability endpoints
- rhcamyers@yourcarecommunity.org
- alicia.myers@rpa.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
Physician Assistant
-
- Rural Health Clinic/Center
- Mount Vernon, KY
- NPI 1255645040
-
- Internal Medicine Physician
- Mount Vernon, KY
- NPI 1134264799
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1720340375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MEMORIAL DR",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626195",
"telephone_number": "606-598-5104",
"fax_number": "606-598-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 GLENNDALE RD",
"address_2": "SUITE 1",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626212",
"telephone_number": "606-599-2508",
"fax_number": "606-599-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ALICIA",
"middle_name": "D.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "COOK",
"middle_name": "D.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.