| Kevin Lee Lum, CRNA | |
|
420 N Center St, Hickory, NC 28601-5033 | |
| (828) 315-5000 | |
| Not Available |
| Full Name | Kevin Lee Lum |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 420 N Center St, Hickory, North Carolina |
| 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 |
|---|---|---|---|
| 1346736808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 217010 (North Carolina) | Primary |
| 163W00000X | Registered Nurse | 217010 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frye Regional Medical Center | Hickory, NC | Hospital |
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina Anesthesia Associates Pllc | 5092720813 | 473 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Butlak Anesthesia Solutions Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013207679 PECOS PAC ID: 5597942946 Enrollment ID: O20110611000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Lee Lum, CRNA 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 Ph: () - | Kevin Lee Lum, CRNA 420 N Center St, Hickory, NC 28601-5033 Ph: (828) 315-5000 |
Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371 | |
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 |