| Elliott Schwartz, CRNA | |
|
100 Medical Center Dr, Hazard, KY 41701-9421 | |
| (606) 439-6600 | |
| Not Available |
| Full Name | Elliott Schwartz |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Medical Center Dr, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699722017 | NPI | - | NPPES |
| 641757270C | Medicaid | GA | |
| 876338120A | Medicaid | GA | |
| 641757270B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 42233 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN071875 (Georgia) | Primary |
| Entity Name | Southeast Georgia Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265518849 PECOS PAC ID: 8426057969 Enrollment ID: O20061212000148 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Schwartz, CRNA 3320 Tates Creek Rd, Suite 204, Lexington, KY 40502-3400 Ph: (859) 268-1030 | Elliott Schwartz, CRNA 100 Medical Center Dr, Hazard, KY 41701-9421 Ph: (606) 439-6600 |
Kaitlyn E Shields, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 859-268-1030 Fax: 859-269-4120 | |
Brad S. Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Mr. Michael A Shilot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Sarah Ratliff, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Kevin J Stanley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 859-268-1030 Fax: 859-269-4120 | |
Silas Shane Mcfall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Edna Sue Stroud, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 |