| 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 | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 230 W Main St Ste 200, Danville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144737982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3011958 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Regional Medical Center | Powell, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Tennessee Pc | 9931001922 | 282 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| 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 |