Mr Jonathan D Laverty, CRNA | |
1025 New Moody Ln, Lagrange, KY 40031-9154 | |
(502) 222-3886 | |
(502) 222-8647 |
Full Name | Mr Jonathan D Laverty |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 1025 New Moody Ln, Lagrange, 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 |
---|---|---|---|
1811081649 | NPI | - | NPPES |
74028028 | Medicaid | KY | |
000000375186 | Other | KY | GLAS/DT KY PRVD # |
1138502 | Medicaid | KY | |
000000188229 | Other | KY | ABCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1089893 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mahaska Health Partnership | Oskaloosa, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mahaska County Hospital | 2769388677 | 61 |
Entity Name | Mahaska County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639159304 PECOS PAC ID: 2769388677 Enrollment ID: O20041202000965 |
Entity Name | Mahaska County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1356320659 PECOS PAC ID: 2769388677 Enrollment ID: O20061104000235 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan D Laverty, CRNA 1011 Hardin Holly, Lagrange, KY 40031-8985 Ph: (502) 222-1170 | Mr Jonathan D Laverty, CRNA 1025 New Moody Ln, Lagrange, KY 40031-9154 Ph: (502) 222-3886 |
Cathy Stolworthy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Christopher Byron White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Debbie A Feemster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Karen Butterfield, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 |