| Elizabeth Cluney Jenkins, CRNA | |
|
309 11th St, Carrollton, KY 41008-1435 | |
| (502) 662-0339 | |
| (502) 852-3762 |
| Full Name | Elizabeth Cluney Jenkins |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 309 11th St, Carrollton, 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 |
|---|---|---|---|
| 1649645383 | NPI | - | NPPES |
| 300018125 | Medicaid | IN | |
| 7100562730 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28245791C (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3018044 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carroll County Memorial Hospital | Carrollton, KY | Hospital |
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Entity Name | Greater Louisville Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326126681 PECOS PAC ID: 2264410661 Enrollment ID: O20040712001150 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Cluney Jenkins, CRNA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Elizabeth Cluney Jenkins, CRNA 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 662-0339 |
Mr. Thomas Russell Slone, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3278 Fax: 502-732-9050 |