| Callie J Hancock, | |
|
910 Wallace Ave, Leitchfield, KY 42754-2414 | |
| (270) 259-9512 | |
| Not Available |
| Full Name | Callie J Hancock |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 910 Wallace Ave, Leitchfield, Kentucky |
| 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 |
|---|---|---|---|
| 1265900955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3012882 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
| Entity Name | Anesthesia Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie J Hancock, 1020 N Main St, Beaver Dam, KY 42320-1553 Ph: (270) 274-0480 | Callie J Hancock, 910 Wallace Ave, Leitchfield, KY 42754-2414 Ph: (270) 259-9512 |
John Anthony Lyons, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Rodney D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Jared Crocker, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-274-0480 | |
Mrs. Merry Lynn Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 Fax: 270-259-1662 | |
Mrs. Richelle Lynn Humphrey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Susan Kirkwood, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 317 N English St, Leitchfield, KY 42754 Phone: 502-550-4164 |