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

Maryann Hall, PAC

Individual provider Physician Assistant · NPI 1245238518

Maryann Hall, PAC is a Physician Assistant in Lackey, Kentucky. Graduated from University of Kentucky College of Medicine in 2003, 23 years ago. Practices with Clark Regional Physician Practices LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
23
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

77 Millard Allen Dr
Lackey, KY 41643
Phone: (606) 358-2381
Fax: (606) 358-2404
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA781 (KY)

Record details

NPI number1245238518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 16, 2008
Mailing addressPo Box 190, Lackey, KY 41643-0190

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Clark Regional Physician Practices Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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