| Andrew R Hanson, | |
| 
					650 Joel Dr, Fort Campbell, KY 42223-5318  | |
| (270) 798-8400 | |
| Not Available | 
| Full Name | Andrew R Hanson | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 650 Joel Dr, Fort Campbell, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578303111 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | R042354 (South Dakota) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | CR001189 (South Dakota) | Primary | 
| Entity Name | Deaconess Hospital, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew R Hanson, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () -  | Andrew R Hanson, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400  | 
Jayme Schaaf, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 402-340-0985  | |
Richard C Ales,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180  | |
Mrs. Savannah Lynn Brookhart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 808-386-8536  | |
Melissa Mckinney, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 210-286-1910  | |
Luke Michael Scipioni, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400  | |
Teara Lynn Kist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400  | |
Andrea Infantino,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400  |