Dr Jacqueline Khristen Basham, MD - Medicare Obstetrics/gynecology in Shelbyville, KY

Dr Jacqueline Khristen Basham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Shelbyville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Obhg Kentucky Psc and her current practice location is 140 Stonecrest Rd, Shelbyville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 633-0094.

Dr Jacqueline Khristen Basham is licensed to practice in Kentucky (license number 30475) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396709671.

Contact Information

Dr Jacqueline Khristen Basham, MD
140 Stonecrest Rd,
Shelbyville, KY 40065-8142
(502) 633-0094
(502) 633-0033



Physician's Profile

Full NameDr Jacqueline Khristen Basham
GenderFemale
SpecialityObstetrics/gynecology
Experience31 Years
Location140 Stonecrest Rd, Shelbyville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqueline Khristen Basham attended and graduated from University Of Louisville School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1396709671
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 08/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7719144310
  • Enrollment ID: I20120209000670

Medical Identifiers

Medical identifiers for Dr Jacqueline Khristen Basham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396709671NPI-NPPES
000000204606OtherKYANTHEM
000000204621OtherKYANTHEM
64304751MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 30475 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Obhg Kentucky Psc54969102007

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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. Dr Jacqueline Khristen Basham allows following entities to bill medicare on her behalf.
Entity NameObhg Kentucky Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457644122
PECOS PAC ID: 5496910200
Enrollment ID: O20120628000666

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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. Dr Jacqueline Khristen Basham 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
Dr Jacqueline Khristen Basham, MD
Po Box 950248,
Louisville, KY 40295-0248

Ph: (502) 253-1035
Dr Jacqueline Khristen Basham, MD
140 Stonecrest Rd,
Shelbyville, KY 40065-8142

Ph: (502) 633-0094

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Obstetrics & Gynecology Doctors in Shelbyville, KY

Dr. Anita Rose Kotheimer, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 140 Stonecrest Rd, Shelbyville, KY 40065
Phone: 502-633-0094    Fax: 502-633-0033
Dr. Denise J Bruneau, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 140 Stonecrest Rd, Shelbyville, KY 40065
Phone: 502-633-0094    Fax: 502-633-0033
Jennifer Heer Ford, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 140 Stonecrest Rd Ste 201, Shelbyville, KY 40065
Phone: 502-633-0094    Fax: 502-633-0033
Dr. Heath E Brown, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 140 Stonecrest Rd, Shelbyville, KY 40065
Phone: 502-633-0094    Fax: 502-633-0033

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