| Christina L Tanner, CRNA | |
|
222 Medical Cir, Morehead, KY 40351-1179 | |
| (606) 783-6400 | |
| Not Available |
| Full Name | Christina L Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 222 Medical Cir, Morehead, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760766414 | NPI | - | NPPES |
| 1099532 | Other | KY | KY MEDICAL LICENSE |
| 0076316 | Medicaid | OH | |
| 7100411890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.12654-NA (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1099532 (Kentucky) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina L Tanner, CRNA 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-6942 | Christina L Tanner, CRNA 222 Medical Cir, Morehead, KY 40351-1179 Ph: (606) 783-6400 |
Lauren Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6513 Fax: 606-783-6489 | |
Denita Joy Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904 | |
Emily Sue Mason, NP-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6521 Fax: 606-783-6904 | |
Cynthia Jo Blankenship, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6504 | |
Cindy D Hanner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 | |
Philip W Vankersen, MD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904 | |
Kristie Lynn Mullins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Circle, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6570 |