| David S Ellison, CRNA | |
|
4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004-9019 | |
| (502) 350-5032 | |
| (502) 350-5022 |
| Full Name | David S Ellison |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4305 New Shepherdsville Rd, Bardstown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841521481 | NPI | - | NPPES |
| 7100100860 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 14616 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3007236 (Kentucky) | Primary |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
| Entity Name | Eye Center Of Nashville Uap, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538567375 PECOS PAC ID: 1052638996 Enrollment ID: O20150402000990 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20220421002076 |
| Mailing Address | Practice Location Address |
|---|---|
| David S Ellison, CRNA 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (502) 315-1458 | David S Ellison, CRNA 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004-9019 Ph: (502) 350-5032 |
Price Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5022 | |
Mary Martha Dowell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
Scott Kendall Ohler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
Roger K Colbert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 | |
Alan Todd Dossett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 | |
David Wayne Kendrick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004 Phone: 502-350-5032 Fax: 502-350-5022 |