Brendon M Coughtry, MD - Medicare Interventional Pain Management in Campbellsville, KY

Brendon M Coughtry, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Campbellsville, Kentucky. He went to Medical College Of Georgia School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Commonwealth Pain Associates Pllc and his current practice location is 99 Wellpark Lane, Ste 4, Campbellsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 260-8613.

Brendon M Coughtry is licensed to practice in Kentucky (license number 42072) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669514840.

Contact Information

Brendon M Coughtry, MD
99 Wellpark Lane, Ste 4,
Campbellsville, KY 42718-4919
(606) 260-8613
(859) 977-2683



Physician's Profile

Full NameBrendon M Coughtry
GenderMale
SpecialityInterventional Pain Management
Experience21 Years
Location99 Wellpark Lane, Campbellsville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brendon M Coughtry attended and graduated from Medical College Of Georgia School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1669514840
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931277472
  • Enrollment ID: I20081010000045

Medical Identifiers

Medical identifiers for Brendon M Coughtry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669514840NPI-NPPES
1563218OtherKYWELLCARE OF KY PROVIDER ID NUMBER
3406022OtherCIGNA PROVIDER ID NUMBER
000001155521OtherANTHEM PIN
1669514840MedicaidWV
102719KYIPOtherKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
30015488600001MedicaidVA
7100051000MedicaidKY
9276417OtherAETNA PROVIDER ID NUMBER
2950152OtherUNITED HEALTHCARE PROVIDER ID NUMBER
300012018MedicaidIN
CS1815900343OtherCARESOURCE PROVIDER ID NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 42072 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Taylor Regional HospitalCampbellsville, KYHospital
Saint Joseph LondonLondon, KYHospital
Baptist Health CorbinCorbin, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Commonwealth Pain Associates Pllc0941441919112

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brendon M Coughtry allows following entities to bill medicare on his behalf.
Entity NamePikeville Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528195864
PECOS PAC ID: 6709790157
Enrollment ID: O20040304001281

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Entity NameCommonwealth Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306280177
PECOS PAC ID: 0941441919
Enrollment ID: O20130802000577

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brendon M Coughtry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brendon M Coughtry, MD
Po Box 21890,
Belfast, ME 04915-4115

Ph: (502) 907-0356
Brendon M Coughtry, MD
99 Wellpark Lane, Ste 4,
Campbellsville, KY 42718-4919

Ph: (606) 260-8613

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Pain Medicine Doctors in Campbellsville, KY


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