| Catherine Marie Jackson, DNAP, CRNA | |
|
1530 Lone Oak Rd, Paducah, KY 42003-7901 | |
| (270) 444-2444 | |
| Not Available |
| Full Name | Catherine Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1530 Lone Oak Rd, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710793898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4030583 (Kentucky) | Primary |
| 163W00000X | Registered Nurse | 4030583 (Kentucky) | Secondary |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Marie Jackson, DNAP, CRNA 178 Trail Loop Dr Unit 103, Paducah, KY 42001-4063 Ph: (573) 380-9114 | Catherine Marie Jackson, DNAP, CRNA 1530 Lone Oak Rd, Paducah, KY 42003-7901 Ph: (270) 444-2444 |
Eben Jordan Linder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2444 Fax: 859-269-4120 | |
Ronnie Bower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 660 Whitney Dr, Paducah, KY 42001 Phone: 502-777-2705 | |
Mr. Michael D Redd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2507 Broadway St, Paducah, KY 42001 Phone: 270-442-8228 Fax: 270-442-9566 | |
Mr. Francis Dillard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Avenue, Western Baptist Hospital, Paducah, KY 42003 Phone: 270-575-2100 | |
Danielle Lauren Witte, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2444 | |
Mr. Adrian G Thodoropoulos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2507 Broadway St, Paducah, KY 42001 Phone: 270-442-8228 Fax: 270-442-9566 | |
Mrs. Peyton Diane Englert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2100 |