Daniel Lee Whitaker, CRNA | |
600 Mary St, Evansville, IN 47710-1674 | |
(812) 450-2240 | |
(812) 450-2710 |
Full Name | Daniel Lee Whitaker |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 600 Mary St, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912992124 | NPI | - | NPPES |
100383050 | Medicaid | IN | |
000000249974 | Other | IN | SIA ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28069763A (Indiana) | Primary |
Entity Name | Johnson Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
Mailing Address | Practice Location Address |
---|---|
Daniel Lee Whitaker, CRNA Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-2240 | Daniel Lee Whitaker, CRNA 600 Mary St, Evansville, IN 47710-1674 Ph: (812) 450-2240 |
Blyth H Giammattei, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-2240 Fax: 812-450-2710 | |
Jody P Sutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3044 Fax: 812-450-2710 | |
Cathy Ann Leake Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1528 Victoria Green Blvd, Evansville, IN 47715 Phone: 812-454-6029 | |
Samantha Frances Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary Street, Evansville, IN 47747 Phone: 812-450-2240 | |
Austin Kirk Miller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-0812 | |
Mr. Terry M Hoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary Street, Evansville, IN 47747 Phone: 812-450-2240 Fax: 812-450-2710 | |
Jennifer M Blair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-473-0181 Fax: 812-473-5822 |