Jill Ann Spackman, PA - Medicare Physician Assistant in Fort Campbell, KY

Jill Ann Spackman, PA is a medicare enrolled "Physician Assistant" in Fort Campbell, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Urgent Care Enterprise Llc and her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 956-0336.

Jill Ann Spackman is licensed to practice in Colorado (license number 1086080) 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 1093940173.

Contact Information

Jill Ann Spackman, PA
650 Joel Dr,
Fort Campbell, KY 42223
(270) 956-0336
Not Available



Provider's Profile

Full NameJill Ann Spackman
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location650 Joel Dr, Fort Campbell, 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:
  • Jill Ann Spackman graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1093940173
  • Provider Enumeration Date: 05/19/2009
  • Last Update Date: 06/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8123414638
  • Enrollment ID: I20220411000842

Medical Identifiers

Medical identifiers for Jill Ann Spackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093940173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1086080 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northcrest Medical CenterSpringfield, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgent Care Enterprise Llc549699815562

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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. Jill Ann Spackman 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
Jill Ann Spackman, PA
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: () -
Jill Ann Spackman, PA
650 Joel Dr,
Fort Campbell, KY 42223

Ph: (270) 956-0336

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Physician Assistant Nurses in Fort Campbell, KY

Christopher Alyn Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-3535    
Gregory Hershey,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8727    Fax: 270-956-0180
Angela Liszewski, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-978-8400    
Matthew Bedinghaus,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Mark Leon Siebe, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Jessica Johns, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223
Phone: 270-798-4677    
Sara Cashdollar,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8095    

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