Jerry Lee Mcclellan Ii, CRNA | |
501 Morris St, Charleston, WV 25301-1326 | |
(304) 388-6261 | |
Not Available |
Full Name | Jerry Lee Mcclellan Ii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 501 Morris St, Charleston, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316292477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 88050 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN64260 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-atlantic Anesthesia Consultants Llc | 1951205996 | 21 |
Charleston Area Medical Center Inc | 3375441637 | 674 |
Entity Name | Mid-atlantic Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144248907 PECOS PAC ID: 1951205996 Enrollment ID: O20031121000450 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Jerry Lee Mcclellan Ii, CRNA Po Box 3466, Charleston, WV 25334-3466 Ph: (304) 720-8816 | Jerry Lee Mcclellan Ii, CRNA 501 Morris St, Charleston, WV 25301-1326 Ph: (304) 388-6261 |
Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 | |
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470 | |
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582 | |
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556 | |
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852 | |
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228 |