Mr Kentucky R Skinner, O-PA/C - Physician Assistant in Mandeville, LA

Mr Kentucky R Skinner, O-PA/C is a Physician Assistant - Surgical based in Mandeville, Louisiana. Mr Kentucky R Skinner is licensed to practice in Louisiana (license number CN88759) and his current practice location is 230 Audubon Dr, Mandeville, Louisiana. He can be reached at his office (for appointments etc.) via phone at (985) 845-1501.

NPI number for Mr Kentucky R Skinner is 1225245343 and his current mailing address is 230 Audubon Dr, Mandeville, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225245343.

Contact Information

Mr Kentucky R Skinner, O-PA/C
230 Audubon Dr,
Mandeville, LA 70471
(985) 845-1501
(985) 845-1601



Provider's Profile

Full NameMr Kentucky R Skinner
GenderMale
SpecialityPhysician Assistant - Surgical
Location230 Audubon Dr, Mandeville, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225245343
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 10/18/2008

Medical Identifiers

Medical identifiers for Mr Kentucky R Skinner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225245343NPI-NPPES
CN88759OtherLANC OF ASSIST SURGEONS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical CN88759 (Louisiana)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. Mr Kentucky R Skinner 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
Mr Kentucky R Skinner, O-PA/C
230 Audubon Dr,
Mandeville, LA 70471

Ph: (985) 845-1501
Mr Kentucky R Skinner, O-PA/C
230 Audubon Dr,
Mandeville, LA 70471

Ph: (985) 845-1501

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Physician Assistant Nurses in Mandeville, LA

Holly Buchanan, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2037 W Ridge Dr, Mandeville, LA 70448
Phone: 610-290-6039    
Ms. Donna Brown Holmes, CFA PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 230 Audubon Drive, Mandeville, LA 70471
Phone: 985-845-1501    Fax: 985-845-1601
Mrs. Sharon A Schuster, CST PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 230 Audubon Dr, Mandeville, LA 70471
Phone: 985-845-1501    Fax: 985-845-1601
Jessica Mayers Saucier,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 228 Mako Nako Dr, Mandeville, LA 70471
Phone: 985-807-7207    
Ms. Darrel Lee Brown, CFA PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 230 Audubon Dr, Mandeville, LA 70471
Phone: 985-845-1501    Fax: 985-845-1601
Thomas Robinson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448
Phone: 985-875-2340    

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