| Caitlin Douglas, | |
|
434 Parrish Hl, Mount Juliet, TN 37122-4545 | |
| (618) 303-6543 | |
| Not Available |
| Full Name | Caitlin Douglas |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 434 Parrish Hl, Mount Juliet, Tennessee |
| 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 |
|---|---|---|---|
| 1043987290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4014651 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Hardin | Elizabethtown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthesia Services Of Kentucky Pllc | 0244590305 | 351 |
| Entity Name | Professional Anesthesia Services of Kentucky PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Douglas, 434 Parrish Hl, Mount Juliet, TN 37122-4545 Ph: Not Available | Caitlin Douglas, 434 Parrish Hl, Mount Juliet, TN 37122-4545 Ph: (618) 303-6543 |
Mr. Steven C Depass, CRNA, MS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 448 Quarry Rd, Mount Juliet, TN 37122 Phone: 615-453-1089 Fax: 615-453-1089 |
Linda Lake, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3026 Brisbane Dr, Mount Juliet, TN 37122 Phone: 615-754-7658 |
Brittany Worrell Sanders, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 127 Couchville Pike, Mount Juliet, TN 37122 Phone: 615-289-2546 |