| Jason M Larsen, CRNA, DNP | |
|
800 Rose St, Lexington, KY 40536-8237 | |
| (859) 323-5956 | |
| (859) 323-1080 |
| Full Name | Jason M Larsen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 800 Rose St, Lexington, 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 |
|---|---|---|---|
| 1922439264 | NPI | - | NPPES |
| Q016239 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN19921 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4018931 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 561 |
| Musc Community Physicians | 6507260668 | 793 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Larsen, CRNA, DNP 1009 Novus Dr Ste 2, Johnson City, TN 37604-8237 Ph: (423) 283-0776 | Jason M Larsen, CRNA, DNP 800 Rose St, Lexington, KY 40536-8237 Ph: (859) 323-5956 |
Keesha Ovee Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Robert Jason Crafton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Department Of Anesthesiology, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-218-1080 | |
Kathleen Whitehouse, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 | |
Richi C Gambrel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5000 | |
Mrs. Cynthia Napier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Saint Joseph Drive, Lexington, KY 40504 Phone: 859-313-1000 | |
Mr. John Stepan Pototsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Ms. Cathleen D. Bentley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 |