William D Smith Jr, CRNA | |
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
(502) 647-4085 | |
(502) 647-4098 |
Full Name | William D Smith Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 727 Hospital Dr, Shelbyville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013092808 | NPI | - | NPPES |
200902460A | Medicaid | IN | |
7100045920 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3002895 (Kentucky) | Primary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140718000290 |
Mailing Address | Practice Location Address |
---|---|
William D Smith Jr, CRNA 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (502) 647-4085 | William D Smith Jr, CRNA 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4085 |
Mr. Brandon Scott Embry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-852-5851 | |
Chelsea Elizabeth Dresner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Jerred Davis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Donald David Hart Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Alexis Jayne Chambers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Rosalie Spreen Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 |