Ms Kelly Boyd, CRNA | |
2600 Greenbush St, Lafayette, IN 47904-2477 | |
(765) 448-8000 | |
Not Available |
Full Name | Ms Kelly Boyd |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2600 Greenbush St, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639178585 | NPI | - | NPPES |
74007717 | Medicaid | KY | |
000000597276 | Other | IN | ANTHEM PROVIDER NUMBER |
200472780 | Medicaid | IN | |
2467816 | Medicaid | OH |
Entity Name | Anesthesia Group Practice Inc |
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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 |
---|---|
Ms Kelly Boyd, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Ms Kelly Boyd, CRNA 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Roger E. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Rhiannon H Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
James M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Dora Renee Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Jeffrey Hood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Brianne Nicole Caniglia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Dana Leanne Lemnus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |