Melissa Gail Fitch, CRNA | |
1020 N Main St, Beaver Dam, KY 42320-1553 | |
(270) 274-0480 | |
(270) 274-0482 |
Full Name | Melissa Gail Fitch |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1020 N Main St, Beaver Dam, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275504706 | NPI | - | NPPES |
000000309913 | Other | KY | ANTHEM BCBS PIN |
74007428 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28172239A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3004125 (Kentucky) | Primary |
Entity Name | Deaconess Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
Entity Name | Eye Care Surgery Center Of Evansville, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1821170499 PECOS PAC ID: 1658470877 Enrollment ID: O20070628000206 |
Entity Name | Anesthesia Care Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899449 PECOS PAC ID: 6608042288 Enrollment ID: O20120103000455 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
Mailing Address | Practice Location Address |
---|---|
Melissa Gail Fitch, CRNA 111 Tiffany Ave, Greenville, KY 42345-1800 Ph: (270) 977-0315 | Melissa Gail Fitch, CRNA 1020 N Main St, Beaver Dam, KY 42320-1553 Ph: (270) 274-0480 |
Christy Dawn Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1020 N Main St, Beaver Dam, KY 42320 Phone: 270-274-0480 Fax: 270-274-0482 |