| Jake Chris Chang, | |
|
1141 Hospital Dr Nw, Corydon, IN 47112-2164 | |
| (812) 738-4251 | |
| Not Available |
| Full Name | Jake Chris Chang |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1141 Hospital Dr Nw, Corydon, Indiana |
| 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 |
|---|---|---|---|
| 1700062726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 45453 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Harrison County Hospital | 9032007208 | 45 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| 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 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210104001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Chris Chang, Po Box 38, Corydon, IN 47112-0038 Ph: (812) 738-4251 | Jake Chris Chang, 1141 Hospital Dr Nw, Corydon, IN 47112-2164 Ph: (812) 738-4251 |
Edwin R Stutzman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 | |
Ryan Mittwede, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 | |
Robert Scott Wiltrout, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1141 Hospital Dr Nw, Corydon, IN 47112 Phone: 812-738-4251 |