Kelly Jane Coburn, PA-C - Medicare Physician Assistant in Edgewood, KY

Kelly Jane Coburn, PA-C is a medicare enrolled "Physician Assistant" in Edgewood, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 301-4000.

Kelly Jane Coburn is licensed to practice in Kentucky (license number PA2674) 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 1528654258.

Contact Information

Kelly Jane Coburn, PA-C
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 301-4000
(859) 301-3962



Provider's Profile

Full NameKelly Jane Coburn
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location1 Medical Village Dr, Edgewood, 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:
  • Kelly Jane Coburn graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1528654258
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911311154
  • Enrollment ID: I20220816003399

Medical Identifiers

Medical identifiers for Kelly Jane Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528654258NPI-NPPES
50.006598OtherOHPHYSICIAN ASSISTANT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2674 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

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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. Kelly Jane Coburn 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
Kelly Jane Coburn, PA-C
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 344-5555
Kelly Jane Coburn, PA-C
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 301-4000

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Physician Assistant Nurses in Edgewood, KY

Mrs. Courtney E Coffey, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-9010    Fax: 859-301-9018
Mr. Spencer Herbert Cole, MPAS, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 659-301-0655
Deborah Joy Barnett, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-578-5880    Fax: 859-578-5881
Miss Casey Lynn Doty, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr # 254, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Catherine Kremer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 859-817-7848
Mr. Matthew Giese, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Loop Rd, Edgewood, KY 41017
Phone: 859-301-2663    Fax: 859-301-0655
Emily Julia Williams,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Medical Village Drive, Edgewood, KY 41017
Phone: 859-301-2465    Fax: 859-301-4941

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