Mr Robert Holland, CRNA | |
910 Wallace Ave, Leitchfield, KY 42754 | |
(270) 274-0480 | |
(270) 274-0482 |
Full Name | Mr Robert Holland |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 910 Wallace Ave, Leitchfield, 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 |
---|---|---|---|
1427434026 | NPI | - | NPPES |
7100378870 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3009649 (Kentucky) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 106744 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triangle Anesthesia Group, Psc | 9436161585 | 61 |
Entity Name | Triangle Anesthesia Group, Psc |
---|---|
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 |
---|---|
Mr Robert Holland, CRNA 1100 Riverwood Rd, Murray, KY 42071-9393 Ph: (270) 705-7368 | Mr Robert Holland, CRNA 910 Wallace Ave, Leitchfield, KY 42754 Ph: (270) 274-0480 |
John Anthony Lyons, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Rodney D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Jared Crocker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-274-0480 | |
Mrs. Merry Lynn Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 Fax: 270-259-1662 | |
Callie J Hancock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Mrs. Richelle Lynn Humphrey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Susan Kirkwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 317 N English St, Leitchfield, KY 42754 Phone: 502-550-4164 |