Mrs Suzanne Michelle Fernbach, PA-C - Medicare Physician Assistant in Crittenden, KY

Mrs Suzanne Michelle Fernbach, PA-C is a medicare enrolled "Physician Assistant" in Crittenden, Kentucky. She went to University Of Kentucky College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Inc, Summit Medical Group, Inc and her current practice location is 405 Violet Rd, Crittenden, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 903-0268.

Mrs Suzanne Michelle Fernbach is licensed to practice in Kentucky (license number PA646) 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 1366539652.

Contact Information

Mrs Suzanne Michelle Fernbach, PA-C
405 Violet Rd,
Crittenden, KY 41030-8956
(859) 903-0268
(859) 428-1444



Provider's Profile

Full NameMrs Suzanne Michelle Fernbach
GenderFemale
SpecialityPhysician Assistant
Experience23 Years
Location405 Violet Rd, Crittenden, 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:
  • Mrs Suzanne Michelle Fernbach attended and graduated from University Of Kentucky College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1366539652
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 08/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092610535
  • Enrollment ID: I20090409000039

Medical Identifiers

Medical identifiers for Mrs Suzanne Michelle Fernbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366539652NPI-NPPES
95002804MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10002914A (Indiana)Secondary
363AM0700XPhysician Assistant - Medical PA646 (Kentucky)Secondary
363A00000XPhysician Assistant PA646 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693
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. Mrs Suzanne Michelle Fernbach 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
Mrs Suzanne Michelle Fernbach, PA-C
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 903-0268
Mrs Suzanne Michelle Fernbach, PA-C
405 Violet Rd,
Crittenden, KY 41030-8956

Ph: (859) 903-0268

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Physician Assistant Nurses in Crittenden, KY


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