Elizabeth Marie Moss Deatley
Elizabeth Marie Moss Deatley is a Physician Assistant in Maysville, Kentucky. Qualified in 2022, 4 years ago. Practices with Lewis County Primary Care Center, Inc, a 88-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
525 Tucker DrMaysville, KY 41056-9182
Phone: (606) 759-0002
Fax: (606) 759-0103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1350 Medical Park Dr, Maysville, KY 41056-9615 — (606) 759-5437
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1629723267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2022 |
| Last updated in NPPES | November 23, 2022 |
| Certification date | November 23, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Lewis County Primary Care Center, Inc — 88 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Maysville
-
Kimberly A Keef, PAC
927 Kenton Station Dr, Maysville, KY 41056-9609 · (606) 759-0433