| Michael D Hackett, CRNA | |
|
800 Rose St, Lexington, KY 40536-7001 | |
| (859) 323-5956 | |
| (859) 323-1080 |
| Full Name | Michael D Hackett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 800 Rose St, Lexington, Kentucky |
| 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 |
|---|---|---|---|
| 1184688749 | NPI | - | NPPES |
| 7401086900 | Medicaid | KY | |
| 200519280 | Medicaid | IN | |
| 9487921 | Other | PHCS | |
| 000000542747 | Other | ANTHEM | |
| 2484815 | Medicaid | OH | |
| 70965 | Other | PA | COUNCIL OF RECERT OF NA # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Services Network Ltd | 8820902794 | 168 |
| Entity Name | Anesthesiology Services Network Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Hackett, CRNA 2288 Gunbarrel Rd Ste 111 Pmb 237, Chattanooga, TN 37421-2670 Ph: (412) 337-0283 | Michael D Hackett, CRNA 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-5956 |
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 | |
Ms. Cathleen D. Bentley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 |