Mr Edward K Petrusch, CRNA is a
Nurse Anesthetist, Certified Registered based in Alvaton, Kentucky. Mr Edward K Petrusch is licensed to practice in Kentucky (license number 820A) and his current practice location is
444 Collett Bridge Rd, Alvaton, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 842-0433.
NPI number for Mr Edward K Petrusch is 1386647337 and his current mailing address is 444 Collett Bridge Rd, Alvaton, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386647337.
Provider's Profile
| Full Name | Mr Edward K Petrusch |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 444 Collett Bridge Rd, Alvaton, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386647337
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 04/11/2013
Medical Identifiers
Medical identifiers for Mr Edward K Petrusch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386647337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 820A (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward K Petrusch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Edward K Petrusch, CRNA
444 Collett Bridge Rd,
Alvaton, KY 42122-9675
Ph: (270) 842-0433 | Mr Edward K Petrusch, CRNA
444 Collett Bridge Rd,
Alvaton, KY 42122-9675
Ph: (270) 842-0433 |
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