| Gary A Deraad, CRNA | |
|
800 Rose St, Lexington, KY 40536-7001 | |
| (859) 323-5956 | |
| (859) 323-1080 |
| Full Name | Gary A Deraad |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 800 Rose St, Lexington, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851393623 | NPI | - | NPPES |
| P00619434 | Other | RRMC | |
| 000000556304 | Other | ANTHEM | |
| 341881145-003 | Other | OH | MMO |
| 04097A | Other | OH | PARAMOUNT |
| 5182096 | Medicaid | MI | |
| 74007279 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3004238 (Kentucky) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN 279724 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Chi Health Good Samaritan | Kearney, NE | Hospital |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Northern Colorado Anesthesia Professionals Pllc | 6800878760 | 140 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Kearney Anesthesia Associates Pc | 9335132141 | 16 |
| Entity Name | Northern Colorado Anesthesia Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Deraad, CRNA 26699 Mohawk Dr, Perrysburg, OH 43551-5403 Ph: (419) 690-7652 | Gary A Deraad, CRNA 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-5956 |
Keesha Ovee Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Robert Jason Crafton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Department Of Anesthesiology, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-218-1080 | |
Kathleen Whitehouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000 | |
Richi C Gambrel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5000 | |
Mrs. Cynthia Napier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Saint Joseph Drive, Lexington, KY 40504 Phone: 859-313-1000 | |
Mr. John Stepan Pototsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080 | |
Mr. Austin Twitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3480 Yorkshire Medical Park # 100, Lexington, KY 40509 Phone: 859-904-5046 |