Mackenzie Martin, CRNA | |
425 Lewis Hargett Cir, Lexington, KY 40503-3590 | |
(859) 268-1030 | |
Not Available |
Full Name | Mackenzie Martin |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 425 Lewis Hargett Cir, Lexington, Kentucky |
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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1306586698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 93493 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3017780 (Kentucky) | Primary |
Entity Name | Pikeville Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281 |
Entity Name | Triangle Anesthesia Group, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
Mailing Address | Practice Location Address |
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Mackenzie Martin, CRNA 381 Rocklick Branch Rd, Chapmanville, WV 25508-7651 Ph: (304) 928-4464 | Mackenzie Martin, CRNA 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 |
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 | |
Mr. Austin Twitchell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3480 Yorkshire Medical Park # 100, Lexington, KY 40509 Phone: 859-904-5046 |