Tyler Wellman, CRNA | |
800 Rose St, Lexington, KY 40536-9060 | |
(859) 323-5956 | |
(859) 323-1080 |
Full Name | Tyler Wellman |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 Rose St, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750998696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WS0200X | Registered Nurse - School | 1139550 (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3018889 (Kentucky) | Primary |
Entity Name | University Of Kentucky |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
Mailing Address | Practice Location Address |
---|---|
Tyler Wellman, CRNA 703 S 42nd St, Middlesboro, KY 40965-9060 Ph: (606) 923-9964 | Tyler Wellman, CRNA 800 Rose St, Lexington, KY 40536-9060 Ph: (859) 323-5956 |
Keesha Ovee Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Robert Jason Crafton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Department Of Anesthesiology, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-218-1080 | |
Kathleen Whitehouse, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 | |
Richi C Gambrel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5000 | |
Mrs. Cynthia Napier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Saint Joseph Drive, Lexington, KY 40504 Phone: 859-313-1000 | |
Mr. John Stepan Pototsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Ms. Cathleen D. Bentley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 |