Phillip Ellegood, CRNA | |
200 Clinic Dr, Madisonville, KY 42431-1661 | |
(270) 825-7200 | |
Not Available |
Full Name | Phillip Ellegood |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 200 Clinic Dr, Madisonville, 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 |
---|---|---|---|
1922105568 | NPI | - | NPPES |
74441429 | Medicaid | KY | |
000000219321 | Other | BCBS PROVIDER NUMBER | |
1949A | Other | KY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1949A (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Paducah | Paducah, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apex Anesthesia Partners Pllc | 3476891656 | 34 |
Entity Name | Northstar Anesthesia Of Kentucky, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443 |
Entity Name | Tas Of Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255735346 PECOS PAC ID: 3274856232 Enrollment ID: O20141223000973 |
Entity Name | Apex Anesthesia Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902373772 PECOS PAC ID: 3476891656 Enrollment ID: O20190213001951 |
Mailing Address | Practice Location Address |
---|---|
Phillip Ellegood, CRNA 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 | Phillip Ellegood, CRNA 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Michael David Crider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Tammy Ann Bishop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7346 | |
Travis Laffoon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-824-3682 Fax: 270-824-3675 | |
Ronald Ray Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Rihana Paige Mcknight, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-350-3703 | |
Michelle A. Addington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
John W. Sciarini, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 |