Ben W Back, PA - Medicare Physician Assistant in Hazard, KY

Ben W Back, PA is a medicare enrolled "Physician Assistant - Medical" in Hazard, Kentucky. He graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mountain After Hours Clinic Psc and his current practice location is 210 Black Gold Blvd Ste 106, Hazard, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 436-0711.

Ben W Back is licensed to practice in Kentucky (license number PA364) 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 1619942562.

Contact Information

Ben W Back, PA
210 Black Gold Blvd Ste 106,
Hazard, KY 41701-2620
(606) 436-0711
(606) 436-0848



Provider's Profile

Full NameBen W Back
GenderMale
SpecialityPhysician Assistant
Experience31 Years
Location210 Black Gold Blvd Ste 106, Hazard, 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:
  • Ben W Back graduated from nursing school in 1993
  NPI Data:
  • NPI Number: 1619942562
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 05/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860590767
  • Enrollment ID: I20070530000494

Medical Identifiers

Medical identifiers for Ben W Back such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619942562NPI-NPPES
95000287MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA364 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hazard Arh Regional Medical CenterHazard, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain After Hours Clinic Psc054717010223

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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. Ben W Back 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
Ben W Back, PA
Po Box 959,
Hazard, KY 41702-0959

Ph: (606) 589-5514
Ben W Back, PA
210 Black Gold Blvd Ste 106,
Hazard, KY 41701-2620

Ph: (606) 436-0711

News Archive

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Physician Assistant Nurses in Hazard, KY

Beverly Paige Neace, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701
Phone: 606-439-1300    Fax: 606-439-1400
Mary A Engle, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 271 E Main St, Hazard, KY 41701
Phone: 606-439-1316    Fax: 606-435-0752
Amber Dawn Floyd, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 210 Black Gold Blvd, Hazard, KY 41701
Phone: 606-487-7000    Fax: 606-487-7022
Brett Marvin Smith, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Medical Center Dr, Hazard, KY 41701
Phone: 606-449-6600    
Crystal Gibson, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Town And Country Ln, Suite 100, Hazard, KY 41701
Phone: 606-439-1300    Fax: 606-439-1400
Sherry Larrisa Miller, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701
Phone: 606-439-1300    Fax: 606-439-1400
Johnathan O'neil Davidson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 200 Medical Center Dr, Hazard, KY 41701
Phone: 606-439-6779    Fax: 606-487-8448

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