Kenneth John Grall Jr, CRNA | |
600 Mary Street, Evansville, IN 47747-0001 | |
(812) 450-2240 | |
(812) 450-2710 |
Full Name | Kenneth John Grall Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 600 Mary Street, Evansville, Indiana |
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 |
---|---|---|---|
1568868511 | NPI | - | NPPES |
7100345910 | Medicaid | KY | |
201279980 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28191766A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Northwest Llc | 7618908484 | 86 |
Entity Name | Anesthesia Associates Northwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Mailing Address | Practice Location Address |
---|---|
Kenneth John Grall Jr, CRNA Po Box 3366, Evansville, IN 47732-3366 Ph: (812) 450-2240 | Kenneth John Grall Jr, CRNA 600 Mary Street, Evansville, IN 47747-0001 Ph: (812) 450-2240 |
Blyth H Giammattei, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-2240 Fax: 812-450-2710 | |
Jody P Sutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3044 Fax: 812-450-2710 | |
Cathy Ann Leake Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1528 Victoria Green Blvd, Evansville, IN 47715 Phone: 812-454-6029 | |
Samantha Frances Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary Street, Evansville, IN 47747 Phone: 812-450-2240 | |
Austin Kirk Miller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-0812 | |
Mr. Terry M Hoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Mary Street, Evansville, IN 47747 Phone: 812-450-2240 Fax: 812-450-2710 | |
Jennifer M Blair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-473-0181 Fax: 812-473-5822 |