| Mrs Amanda Kelly, CRNA | |
|
6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | |
| (214) 687-0001 | |
| (972) 518-2100 |
| Full Name | Mrs Amanda Kelly |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 6225 N State Highway 161 Ste 200, Irving, Texas |
| 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 |
|---|---|---|---|
| 1891232914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041447705 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates, Ltd | 2961303425 | 48 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Oak Brook Anesthesiologists Ltd | 3870554298 | 16 |
| Illinois Gastroenterology Group Llc | 5193857423 | 99 |
| Elite Anesthesia Providers Ltd | 6709249006 | 23 |
| Entity Name | Allied Anesthesia Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134 |
| Entity Name | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | Oak Brook Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881705937 PECOS PAC ID: 3870554298 Enrollment ID: O20041020000126 |
| Entity Name | Anesthesia Consultants Of Morris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952352171 PECOS PAC ID: 6103884150 Enrollment ID: O20041222000531 |
| Entity Name | Illinois Gastroenterology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Entity Name | Elite Anesthesia Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679258388 PECOS PAC ID: 6709249006 Enrollment ID: O20230905001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Kelly, CRNA 127 Stony Ford Rd, Campbell Hall, NY 10916-2215 Ph: (618) 830-7389 | Mrs Amanda Kelly, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 |
Phillip Howard Chapman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2000 | |
Deborah R. Grieder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Sara Morgan Benson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Brian Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6225 N State Highway 161 Ste 200, Irving, TX 75038 Phone: 214-687-0001 Fax: 972-518-2100 | |
Judith A Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5605 N Macarthur Blvd, Ste. 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 | |
Mr. Jacob D Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5605 N. Macarthur Boulevard, Suite 220, Irving, TX 75038 Phone: 972-714-0007 Fax: 972-714-0009 |