| Jordan Brooke Fentress, CRNA | |
|
913 N Dixie Ave, Elizabethtown, KY 42701-2503 | |
| (270) 706-1212 | |
| Not Available |
| Full Name | Jordan Brooke Fentress |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 913 N Dixie Ave, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396582441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4026549 (Kentucky) | Primary |
| Entity Name | Professional Anesthesia Services Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Brooke Fentress, CRNA 605 Foxfire Rd, Elizabethtown, KY 42701-9412 Ph: (270) 872-9485 | Jordan Brooke Fentress, CRNA 913 N Dixie Ave, Elizabethtown, KY 42701-2503 Ph: (270) 706-1212 |
Mrs. Dana Erickson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 639 N Mulberry St, Heartland Anesthesia Consultants, P.s.c., Elizabethtown, KY 42701 Phone: 270-737-4600 Fax: 270-737-1722 | |
Adam Bland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 639 N Mulberry St, Elizabethtown, KY 42701 Phone: 270-737-4600 Fax: 270-737-1722 | |
Mr. Timothy James Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 165 Sycamore Trace Rd, Elizabethtown, KY 42701 Phone: 270-300-2024 | |
Mrs. Lisa Priddy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 639 North Mulberry, Elizabethtown, KY 42701 Phone: 270-737-4600 Fax: 270-737-1722 | |
Morgan Bateman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 639 N Mulberry St, Elizabethtown, KY 42701 Phone: 270-737-4600 | |
Mr. Walter Eric Brown, APRN, CRNA, NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1118 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-982-0825 | |
Mary Theresa Lancaster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 639 N Mulberry St, Elizabethtown, KY 42701 Phone: 270-737-4600 Fax: 270-737-1722 |