| Amanda Hathaway, CRNA | |
|
1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | |
| (740) 393-9000 | |
| Not Available |
| Full Name | Amanda Hathaway |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
| 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 |
|---|---|---|---|
| 1487220299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 132407 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 132407 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knox Community Hospital | Mount vernon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Knox Community Hospital | 1153301833 | 106 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Hathaway, CRNA 8660 Gregg Rd, Fredericktown, OH 43019-9277 Ph: (304) 657-2120 | Amanda Hathaway, CRNA 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 Ph: (740) 393-9000 |
Matthew Ryan Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 | |
Angela Lawson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9019 Fax: 740-399-3188 | |
Roland Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-9000 |