| Amanda Diane Ross, CRNA | |
|
900 Hospital Dr, Madisonville, KY 42431-1644 | |
| (615) 445-9733 | |
| Not Available |
| Full Name | Amanda Diane Ross |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 900 Hospital Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366129173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4009502 (Kentucky) | Primary |
| Entity Name | Covenant Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972129286 PECOS PAC ID: 9830509686 Enrollment ID: O20201105001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Diane Ross, CRNA 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (859) 268-1030 | Amanda Diane Ross, CRNA 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (615) 445-9733 |
Brian Cordell Gibbs Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 785-717-9504 | |
Michael David Crider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Tammy Ann Bishop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7346 | |
Travis Laffoon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-824-3682 Fax: 270-824-3675 | |
Ronald Ray Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Rihana Paige Mcknight, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-350-3703 | |
Michelle A. Addington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 |