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TONYA COBURN P.A.-C
NPI 1639170590
Physician Assistant - Medical in Versailles, KY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
460 WILSON AVE, VERSAILLES, KY 40383(859) 879-0111(859) 879-0363 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tonya Coburn P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYA COBURN P.A.-C (NPI 1639170590) is an individual medical provider in Versailles, Kentucky, licensed in Kentucky (PA452) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1998).

NPPES Registry Identity

NPI1639170590
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTONYA COBURNCredential: P.A.-C
Location Address460 WILSON AVEVersailles, KY 40383-1947
Mailing Address460 Wilson AveVersailles, KY 40383-1947 · (859) 879-0111 · Fax (859) 879-0363
Phone(859) 879-0111
Fax(859) 879-0363
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1998
Enumeration DateAugust 2, 2005
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1639170590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in KY · PA452
460 WILSON AVE, Versailles, KY 40383
Open in Google Maps ↗

Other Identifiers 1

Medicaid95004529KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Coburn P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325032154
PECOS Enrollment IDI20040413001525
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE SCHACK PA
Physician Assistant
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 879-0111
REVITALIZE COUNSELING SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 753-6626
MISS ALYSSA P. VITALI LPCC
Counselor (Professional)
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 753-6626
ASHLEY DAWN SMITH
Physician Assistant
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 879-0111
SHERRY BASORE LPCA
Counselor (Mental Health)
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 753-6626
VERSAILLES FAMILY MEDICINE, PLLC
Family Medicine
460 WILSON AVE, FIRST FLOOR
VERSAILLES, KY 40383
Woodford County (859) 879-0111
KELLY SAYRE
Counselor (Mental Health)
460 WILSON AVE
VERSAILLES, KY 40383
Woodford County (859) 753-6626
MS. JENNA RENEE DANIEL PA-C
Physician Assistant
460 WILSON AVE, FIRST FLOOR
VERSAILLES, KY 40383
Woodford County (859) 879-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Coburn's NPI number?

The NPI number for Tonya Coburn is 1639170590. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Tonya Coburn located?

Tonya Coburn practices at 460 Wilson Ave, Versailles, KY 40383. The listed phone number is (859) 879-0111.

What is Tonya Coburn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tonya Coburn enrolled in Medicare?

Yes. Tonya Coburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tonya Coburn was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.