David S Ellison, CRNA | |
4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004-9019 | |
(502) 350-5032 | |
(502) 350-5022 |
Full Name | David S Ellison |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4305 New Shepherdsville Rd, Bardstown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841521481 | NPI | - | NPPES |
7100100860 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 14616 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3007236 (Kentucky) | Primary |
Entity Name | Purchase Anesthesia, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987953 PECOS PAC ID: 1951357847 Enrollment ID: O20050323001200 |
Entity Name | Sweet Dreams Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20161012002624 |
Mailing Address | Practice Location Address |
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David S Ellison, CRNA 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (502) 315-1458 | David S Ellison, CRNA 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004-9019 Ph: (502) 350-5032 |
Price Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5022 | |
Mary Martha Dowell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
Scott Kendall Ohler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
Roger K Colbert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 | |
Alan Todd Dossett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
David Wayne Kendrick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 |