MEDICARE: MR. DONALD WAINSCOTT II PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA605	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0692918	OTHER	KY	MEDICARE
3	0905205	OTHER	KY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255319075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD WAINSCOTT II PA-C

Provider Business Mailing Address
First Line	:	PO BOX 39597
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1249
Country	:	US
Telephone Number	:	859-288-2425
Fax Number	:	844-670-2874

Provider Business Practice Location Address
First Line	:	1060 GOODWIN DR STE 110
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-3824
Country	:	US
Telephone Number	:	859-288-2425
Fax Number	:	844-670-2874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	10/02/2025

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