| Carl Edmond Wisecaver, CRNA | |
|
230 W Main St Ste 200, Danville, KY 40422-1873 | |
| (859) 236-3726 | |
| (859) 236-3019 |
| Full Name | Carl Edmond Wisecaver |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 230 W Main St Ste 200, Danville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144737982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3011958 (Kentucky) | Primary |
| Entity Name | Danville Anesthesia Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821038696 PECOS PAC ID: 9032016910 Enrollment ID: O20031218000008 |
| Entity Name | One Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174513246 PECOS PAC ID: 7113816174 Enrollment ID: O20040315001249 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Edmond Wisecaver, CRNA 7406 Long Shot Ln, Knoxville, TN 37918-1024 Ph: (865) 315-0090 | Carl Edmond Wisecaver, CRNA 230 W Main St Ste 200, Danville, KY 40422-1873 Ph: (859) 236-3726 |
Crystal Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Susan R Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Andrew J. Ladd, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-236-3726 Fax: 859-236-3019 | |
Mary Lemp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Amelia Yaste, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Jessica R. Schertz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Main St Fl 2, Danville, KY 40422 Phone: 859-236-3726 Fax: 859-236-3019 |