Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ben W Back, PA

Individual provider Medical Physician Assistant · NPI 1619942562

Ben W Back, PA is a Physician Assistant in Hazard, Kentucky. Qualified in 1993, 33 years ago. Practices with Mountain After Hours Clinic PSC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
33
Licensed in
KY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620
Phone: (606) 436-0711
Fax: (606) 436-0848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Kingdom Come Dr, Cumberland, KY 40823-1590 — (606) 589-5514

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA364 (KY)

Record details

NPI number1619942562
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing addressPo Box 959, Hazard, KY 41702-0959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Mountain After Hours Clinic Psc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazard