Gary L Waldron, CRNA | |
320 Loretto Rd, Lebanon, KY 40033-1300 | |
(270) 692-3161 | |
Not Available |
Full Name | Gary L Waldron |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 47 Years |
Location | 320 Loretto Rd, Lebanon, Kentucky |
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 |
---|---|---|---|
1417915349 | NPI | - | NPPES |
74280710 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1061368 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spring View Hospital | Lebanon, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Anesthesia Group Psc | 4082527890 | 35 |
Entity Name | Kentucky Anesthesia Group Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
Entity Name | Taylor Regional Medical Group,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
Mailing Address | Practice Location Address |
---|---|
Gary L Waldron, CRNA 328 Parkwood Dr, Campbellsville, KY 42718-9693 Ph: (270) 789-3766 | Gary L Waldron, CRNA 320 Loretto Rd, Lebanon, KY 40033-1300 Ph: (270) 692-3161 |
Terry Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 Loretto Rd, Lebanon, KY 40033 Phone: 270-692-3161 | |
Deborah L. Doyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 Loretto Rd, Lebanon, KY 40033 Phone: 270-692-3161 |