| Ms Dyan L Sefton, CRNA | |
|
2200 Market St, C/o Saint Catherine's Regional Hospital, Charlestown, IN 47111-9553 | |
| (812) 256-7679 | |
| (812) 256-7419 |
| Full Name | Ms Dyan L Sefton |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2200 Market St, Charlestown, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477647527 | NPI | - | NPPES |
| 200103090B | Medicaid | IN | |
| 28104181A | Other | IN | IN LICENSE NUMBER |
| 430072300 | Other | IL | MEDICARE RAILROAD # |
| 1467530931 | Other | IN | SEFTON ANESTHESIA SERVICES GROUP NPI# |
| 000000286565 | Other | IN | ABCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 28104181A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28104181A (Indiana) | Primary |
| Entity Name | Ema Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104102268 PECOS PAC ID: 7911174552 Enrollment ID: O20120123000087 |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20160325000224 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
| Entity Name | Providian Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20210210002466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dyan L Sefton, CRNA 4680 Old Forest Rd Sw, Po Box 952, Corydon, IN 47112-6437 Ph: (812) 738-7606 | Ms Dyan L Sefton, CRNA 2200 Market St, C/o Saint Catherine's Regional Hospital, Charlestown, IN 47111-9553 Ph: (812) 256-7679 |