Provider profile
IndividualMary Alice Disselkamp
Physician Assistant in Elizabethtown, KY. NPI 1043876170, listed in the CMS NPI Registry since 05/14/2019. Bills Medicare.
NPI 1043876170Specialty Physician AssistantEnumerated 05/14/2019
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Registry and Medicare facts
- Practice location
- 2407 Ring Rd Ste 108, Elizabethtown, KY 42701 CMS NPI Registry
- Specialty
- Physician Assistant CMS NPI Registry
- Enumeration date
- 05/14/2019 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 1,281 Part B CMS Medicare 2024
In the full profile
Locked- 31 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in KY by patient mix and volume
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