Jacqueline Eugenio, MD
Individual provider Active NPI Emergency Medicine Physician · Danville, KY
NPI 1790701456 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1790701456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 32089 (KY)
- Practice address
- 217 S 3Rd St
Danville, KY 40422-1823 - Phone
- (859) 335-9041
- Fax
- (859) 335-9072
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Medical Group of Kentucky PLLC
Practice addresses (Care Compare)
1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561
Hospital & facility affiliations
- The Medical Center at Scottsville
- Taylor Regional Hospital
- Caverna Memorial Hospital
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040907000859 | KY | Practitioner - Emergency Medicine | 9739155250 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32089 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Medical Partners, LLC | Emergency Medicine | Current |
Accepting new patients |
| Cumberland County Hospital Association Inc | Emergency Medicine | Current |
Accepting new patients |
| Monroe Medical Foundation, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Monroe Medical Foundation Inc | Current |
Accepting new patients | |
| Casey County Hospital District | Current |
Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Emergency Medicine | Current |
Accepting new patients |
| Monroe Medical Foundation, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Kentucky Post-Acute Medical Services 1 PSC | Current |
Accepting new patients | |
| Casey County Hospital District | Current |
Accepting new patients | |
| Middlesborough Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Jane Todd Crawford Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Jane Todd Crawford Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Cumberland County Hospital Association Inc | Current |
Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Anciro PSC | Past | Accepting new patients |
Locations
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 299-2286
290 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 634-1921
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
187 Wolford Ave
Liberty, KY 42539
Phone (606) 787-5044
3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
754 S Highway 27
Somerset, KY 42501
Phone (606) 305-2516
529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
Interoperability endpoints
- erjge@yourcarecommunity.org
- https://fhir-usa.unify.chbase.com/org/caseyco-4151b385
- https://fhir-usa.unify.chbase.com/org/janetod-f1571d3c
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32089 | KY | |
| Emergency Medicine Physician | 207P00000X | 32089 | KY | Yes |
Addresses
Primary practice location
217 S 3Rd St
Danville, KY 40422-1823
Mailing address
PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4401035 | Medicaid | TN | |
| 50005438 | Other | KY | PASSPORT |
| 930116183 | Other | KY | RR MEDICARE |
| 64320898 | Medicaid | KY | |
| 000000219293 | Other | KY | ANTHEM |
| 010261155 | Medicaid | VA |
Other providers in Danville, KY
- Ephraim McDowell Regional Medical Center, Incorporated
- Ephraim McDowell Regional Medical Center, Incorporated
- Ephraim McDowell Regional Medical Center, Incorporated
- Shannon Holland Erwin
- Amber Ann Estes
- Cathy Johanna Evans
- Eye Associates of Danville PSC
- Family Chiropractic of Danville PSC
- Family Medicine Clinic of Danville, PSC
- Family Ties, LLC
All providers in Danville, KY · Emergency Medicine Physician 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 24, 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).
- 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.