Gary James Hackett, PA-C - Physician Assistant in Crestview Hills, KY

Gary James Hackett, PA-C is a Physician Assistant - Surgical based in Crestview Hills, Kentucky. Gary James Hackett is licensed to practice in Kentucky (license number PA1110) and his current practice location is 2845 Chancellor Dr, Crestview Hills, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 426-4200.

NPI number for Gary James Hackett is 1003081258 and his current mailing address is 560 S Loop Rd, Edgewood, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003081258.

Contact Information

Gary James Hackett, PA-C
2845 Chancellor Dr,
Crestview Hills, KY 41017-3418
(859) 426-4200
(859) 426-4206



Provider's Profile

Full NameGary James Hackett
GenderMale
SpecialityPhysician Assistant - Surgical
Location2845 Chancellor Dr, Crestview Hills, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003081258
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 01/21/2014

Medical Identifiers

Medical identifiers for Gary James Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003081258NPI-NPPES
7100050170MedicaidKY
CB8861OtherKYRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA1110 (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. Gary James Hackett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary James Hackett, PA-C
560 S Loop Rd,
Edgewood, KY 41017-3405

Ph: (859) 301-2663
Gary James Hackett, PA-C
2845 Chancellor Dr,
Crestview Hills, KY 41017-3418

Ph: (859) 426-4200

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› Verified 3 days ago


Physician Assistant Nurses in Crestview Hills, KY

Ms. Colleen Marie Kennedy, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5702
Stacey L Shadix, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017
Phone: 859-341-5400    Fax: 859-578-3172
Andrea C Green, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017
Phone: 859-426-0800    Fax: 859-426-4140
Rachell L Brooks, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017
Phone: 859-341-5400    Fax: 859-578-4594
Mrs. Emily Nichole Bray, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2494 Legends Way, Crestview Hills, KY 41017
Phone: 859-750-0443    
Mrs. Jessica Marie Gardner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5701

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