Jackie D Maxey
MEMORIAL HOSPITAL, INC.


Address: 65 Glenndale Rd, Suite 1, Manchester, KY 40962-6212
Phone: 6065984500

Jackie D Maxey (NPI# 1073525861, PAC ID# 0840270708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1073525861
PAC ID by PECOS 0840270708
Professional Enrollment ID I20091219000027
Full Name Jackie D Maxey
Organization Legal Name MEMORIAL HOSPITAL, INC.
Address 65 Glenndale Rd
Suite 1
Manchester
KY 40962-6212
Phone Number 6065984500
Gender M
Graduation Year 1999
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4486616141
Number of Group Practice Members 51
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180043 MANCHESTER MEMORIAL HOSPITAL
180011 SAINT JOSEPH LONDON
180080 BAPTIST HEALTH CORBIN
180067 UNIVERSITY OF KENTUCKY HOSPITAL

Other Locations

Address Phone Organization
65 Glenndale Rd, Suite 1, Manchester, KY 40962-6212 6065984500 MEMORIAL HOSPITAL, INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%

Organization Information

Organization Legal Name MEMORIAL HOSPITAL, INC.
Physicians 67

Physicians with the same organization

Name Specialty Organization Address
April Michelle Couch Nurse Practitioner Memorial Hospital, Inc. 53 Queendale Ctr, Beverly, KY 40913-9608
Aaron N Frye Nurse Practitioner Memorial Hospital, Inc. 509 Memorial Dr, Suite 2, Manchester, KY 40962-6196
Ashley B Munn Nurse Practitioner Memorial Hospital, Inc. 102 Professional Dr, Suite 2, London, KY 40741-8857
Stephanie A Collins Nurse Practitioner Memorial Hospital, Inc. 120 Marie Langdon Dr, Manchester, KY 40962-6352
Utpal Kumar Bhanja Hematology/oncology Memorial Hospital, Inc. 102 Professional Dr, Suite 2, London, KY 40741-8857
Carolyn Mcfarland Nurse Practitioner Memorial Hospital, Inc. 53 Queendale Ctr, Beverly, KY 40913-9608
David Conrad Carlson Orthopedic Surgery Memorial Hospital, Inc. 216 Sunset Pl, Neillsville, WI 54456-1706
Angela Y Rice Osteopathic Manipulative Medicine Memorial Hospital, Inc. 102 Professional Dr, Suite 2, London, KY 40741-8857
Suvas G Desai Urology Memorial Hospital, Inc. 102 Professional Dr, Suite 2, London, KY 40741-8857
Kaitlyn E Shields Certified Registered Nurse Anesthetist (crna) Memorial Hospital, Inc. 210 Marie Langdon Dr, Manchester, KY 40962-6388

Office Location

Street Address 65 GLENNDALE RD
SUITE 1
City MANCHESTER
State KY
Zip 40962-6212

Physicians in the same location

Name Specialty Organization Address
Ashlei P Beverly Nurse Practitioner Memorial Hospital, Inc. 65 Glenndale Rd, Manchester, KY 40962-6212
Ray Hays Family Medicine Memorial Hospital, Inc. 65 Glenndale Rd, Manchester, KY 40962-6212
Ryan K Napier Nurse Practitioner Memorial Hospital, Inc. 65 Glenndale Rd, Manchester, KY 40962-6212
Rebecca A Rippetoe Certified Registered Nurse Anesthetist (crna) Memorial Hospital, Inc. 65 Glenndale Rd, Manchester, KY 40962-6212

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth L Boggs Nurse Practitioner 11901 N Hwy 421, Manchester, KY 40962-4859
Cheri Lynn Wagers Nurse Practitioner 90 Garrard Sq, Manchester, KY 40962-5759
Rebecca Roberts Nurse Practitioner Mountain Family Practice Clinic of Manchester Inc 66 Garrard Sq, Manchester, KY 40962-5759
Karen Cheek Nurse Practitioner Mountain Family Practice Clinic of Manchester Inc 66 Garrard Sq, Manchester, KY 40962-5759
Kim Cox Nurse Practitioner Mountain Family Practice Clinic of Manchester Inc 66 Garrard Sq, Manchester, KY 40962-5759
Joel C Stephenson Internal Medicine Mountain Family Practice Clinic of Manchester Inc 66 Garrard Sq, Manchester, KY 40962-5759
Tina Holbrook Nurse Practitioner Mountain Family Practice Clinic of Manchester Inc 66 Garrard Sq, Manchester, KY 40962-5759
Aaron N Frye Nurse Practitioner Memorial Hospital, Inc. 509 Memorial Dr, Suite 2, Manchester, KY 40962-6196
Tracy Sizemore Nurse Practitioner Memorial Hospital, Inc. 509 Memorial Dr, Suite 2, Manchester, KY 40962-6196
Jennifer Sunzanne Smith Clinical Social Worker Memorial Hospital, Inc. 509 Memorial Dr, Suite 2, Manchester, KY 40962-6196
Find all physicians in zip 40962

Competitor

Search similar physicians

City MANCHESTER
Zip Code 40962
Specialty FAMILY MEDICINE
City + Specialty MANCHESTER + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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