Kenneth J Crane, MD | |
1606 N 7th St, Terre Haute, IN 47804-2706 | |
(812) 238-7000 | |
(812) 238-4506 |
Full Name | Kenneth J Crane |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1606 N 7th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013967637 | NPI | - | NPPES |
100342400 | Medicaid | IN | |
050087359 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01031212A (Indiana) | Primary |
Entity Name | Unified Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990 |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Crane, MD Po Box 2505, Indianapolis, IN 46206-2505 Ph: (812) 238-7783 | Kenneth J Crane, MD 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000 |
Victor S Ferguson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Lisa C Ferguson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Dr. Brian Andrew Bark, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Jose F David Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Paul D West, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 812-238-7000 | |
Marcus M Dick, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3903 S 7th St, Suite 1f, Terre Haute, IN 47802 Phone: 812-232-2032 Fax: 812-232-8252 |