Lane Tyler Young, CRNA | |
800 Ravenhill Dr, Atchison, KS 66002-9204 | |
(913) 367-2131 | |
Not Available |
Full Name | Lane Tyler Young |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 Ravenhill Dr, Atchison, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447946033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 43-558090 (Kansas) | Primary |
Entity Name | Hiawatha Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952485161 PECOS PAC ID: 9032007364 Enrollment ID: O20040309000220 |
Entity Name | Amberwell Atchison Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932151487 PECOS PAC ID: 2466363858 Enrollment ID: O20040329001560 |
Mailing Address | Practice Location Address |
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Lane Tyler Young, CRNA 800 Ravenhill Dr, Atchison, KS 66002-9204 Ph: (913) 367-2131 | Lane Tyler Young, CRNA 800 Ravenhill Dr, Atchison, KS 66002-9204 Ph: (913) 367-2131 |
Miss Rebecca Rene' Boust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-5360 Fax: 913-674-2013 | |
Cari Meats, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Andrew Durbin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Charlie K. Wilson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Raven Hill Drive, Atchison, KS 66002 Phone: 913-367-2131 Fax: 913-674-2023 |