Ralph L Luellen Iii, CRNA | |
500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | |
(541) 474-7000 | |
Not Available |
Full Name | Ralph L Luellen Iii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 500 Sw Ramsey Ave, Grants Pass, Oregon |
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 |
---|---|---|---|
1619272788 | NPI | - | NPPES |
300061265 | Medicaid | IN | |
7100818350 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60203707 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 201402159CRNA (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Health | Madison, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Norton - Kings Daughters Health Inc | 9739089319 | 80 |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Mailing Address | Practice Location Address |
---|---|
Ralph L Luellen Iii, CRNA 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0800 | Ralph L Luellen Iii, CRNA 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 Ph: (541) 474-7000 |
Thomas R Leblanc, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Scott W Rigdon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Matthew Allyn Fagert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Jamey L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-5110 Fax: 541-472-7268 | |
Mr. James R Ernest, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 208-336-0895 | |
Mr. Ronald Shenker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4884 | |
Keith Andrew Jensen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 |