Michael Dewayne Hart, CRNA | |
16604 Chestnut Glen Pl, Louisville, KY 40245-6121 | |
(502) 290-8123 | |
(000) 000-0000 |
Full Name | Michael Dewayne Hart |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 16604 Chestnut Glen Pl, Louisville, 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 |
---|---|---|---|
1841358355 | NPI | - | NPPES |
74471137 | Medicaid | KY | |
200131340A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3002380 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Anesthesia Services Of Kentucky Pllc | 0244590305 | 146 |
Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
Entity Name | Professional Anesthesia Services Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
Mailing Address | Practice Location Address |
---|---|
Michael Dewayne Hart, CRNA 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 Ph: (502) 290-8123 | Michael Dewayne Hart, CRNA 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 Ph: (502) 290-8123 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 | |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 | |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 | |
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 | |
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202 | |
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056 | |
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |