Crystal Mckiddy, PA - Medicare Physician Assistant in Corbin, KY

Crystal Mckiddy, PA is a medicare enrolled "Physician Assistant - Medical" in Corbin, Kentucky. Her current practice location is 14662 N Us Highway 25 E, Corbin, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 526-9005.

Crystal Mckiddy is licensed to practice in Kentucky (license number PA1887) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568732618.

Contact Information

Crystal Mckiddy, PA
14662 N Us Highway 25 E,
Corbin, KY 40701-6425
(606) 526-9005
(606) 526-8606



Provider's Profile

Full NameCrystal Mckiddy
GenderFemale
SpecialityPhysician Assistant - Medical
Location14662 N Us Highway 25 E, Corbin, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568732618
  • Provider Enumeration Date: 01/06/2012
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426217357
  • Enrollment ID: I20120312000635

Medical Identifiers

Medical identifiers for Crystal Mckiddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568732618NPI-NPPES
1527317MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2075 (Tennessee)Secondary
363AM0700XPhysician Assistant - Medical PA1887 (Kentucky)Primary

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. Crystal Mckiddy 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
Crystal Mckiddy, PA
82 Edgewood Dr,
Williamsburg, KY 40769-1559

Ph: (423) 215-2002
Crystal Mckiddy, PA
14662 N Us Highway 25 E,
Corbin, KY 40701-6425

Ph: (606) 526-9005

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Physician Assistant Nurses in Corbin, KY

Amanda Marie Brandon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701
Phone: 606-526-4070    Fax: 606-526-4072
Mrs. Amanda Kathryn Hammons, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2 Trillium Way Ste 306, Corbin, KY 40701
Phone: 606-526-4070    
Ms. Melissa Marie Hale, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 446 W Cumberland Gap Pkwy, Corbin, KY 40701
Phone: 606-523-1565    Fax: 606-526-4448
Dustin Scott Ammerman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1498 W Cumberland Gap Pkwy, Corbin, KY 40701
Phone: 606-280-7875    
Mr. Jon-mark French, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 116 South Commonwealth Avenue, Corbin, KY 40701
Phone: 800-226-8874    
Amy L Hicks, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Trillium Way, Corbin, KY 40701
Phone: 606-528-1212    
Sara Chasteen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 60 Bryan Blvd Ste 200, Corbin, KY 40701
Phone: 606-528-1172    Fax: 606-528-7169

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