| Alisha Kettner, CRNA | |
|
5454 Hohman Ave, Hammond, IN 46320-1931 | |
| (219) 933-2270 | |
| (219) 852-2515 |
| Full Name | Alisha Kettner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 5454 Hohman Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063713097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209009914 (Illinois) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28183842A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke University Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke University Health System, Inc | 2567372345 | 906 |
| Entity Name | Duke University Health System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Kettner, CRNA Po Box 1000, Dyer, IN 46311-0800 Ph: (219) 864-2268 | Alisha Kettner, CRNA 5454 Hohman Ave, Hammond, IN 46320-1931 Ph: (219) 933-2270 |
Jean M Roche, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Lillibet G Escalante, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Avenue, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Editha E Julian-stiegel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 | |
Ms. Kelly Jean Mis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-932-2300 | |
Diana L. Biniewicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2117 | |
Loretta J Beier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2270 Fax: 219-852-2515 |