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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180043 | MANCHESTER MEMORIAL HOSPITAL |
180011 | SAINT JOSEPH LONDON |
180080 | BAPTIST HEALTH CORBIN |
180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
Address | Phone | Organization |
---|---|---|
65 Glenndale Rd, Suite 1, Manchester, KY 40962-6212 | 6065984500 | MEMORIAL HOSPITAL, INC. |
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 Legal Name | MEMORIAL HOSPITAL, INC. |
Physicians | 67 |
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 |
Street Address |
65 GLENNDALE RD SUITE 1 |
City | MANCHESTER |
State | KY |
Zip | 40962-6212 |
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 |
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 |
City | MANCHESTER |
Zip Code | 40962 |
Specialty | FAMILY MEDICINE |
City + Specialty | MANCHESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jackie D Maxey.
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.