| Corissa L Stovall, CRNA | |
|
1 Trillium Way, Corbin, KY 40701-8727 | |
| (606) 528-1212 | |
| Not Available |
| Full Name | Corissa L Stovall |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1 Trillium Way, Corbin, 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 |
|---|---|---|---|
| 1073970588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3010075 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Anesthesia Group Psc | 4082527890 | 36 |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Corissa L Stovall, CRNA 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Corissa L Stovall, CRNA 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 528-1212 |
Benjamin C Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Edward M Hoffner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 205, Corbin, KY 40701 Phone: 606-523-2140 Fax: 606-523-2547 | |
Jeffrey L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Highway 770, Corbin, KY 40701 Phone: 606-526-7874 | |
Lisa K Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Jaime I. Davenport, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Mrs. Iris A Horton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Hwy 770, Corbin, KY 40701 Phone: 865-777-0909 Fax: 865-777-0910 |