Susanne K Small, CRNA | |
900 Hospital Dr, Madisonville, KY 42431-1644 | |
(270) 824-3682 | |
(270) 824-3675 |
Full Name | Susanne K Small |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 900 Hospital Dr, Madisonville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427186949 | NPI | - | NPPES |
P00944104 | Other | KY | MEDICARE RAILROAD FOR 5363 |
8298 | Other | MO | HEALTHCARE USA (GROUP) |
0563130 | Medicaid | IA | |
430079704 | Other | RAILROAD MEDICARE | |
915942007 | Medicaid | MO | |
80172 | Other | MO | HEALTHCARE USA |
CG4336 | Other | RAILROAD MEDICARE | |
0976845 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 137090 (Missouri) | Primary |
Entity Name | Mercy Hospital Aurora |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
Mailing Address | Practice Location Address |
---|---|
Susanne K Small, CRNA Po Box 1188, Madisonville, KY 42431-5009 Ph: (270) 824-3682 | Susanne K Small, CRNA 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (270) 824-3682 |
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 |