| James P Woods, CRNA | |
| 
					One Medical Village Drive, Independent Anesthesiologists Psc, Edgewood, KY 41017  | |
| (859) 341-7246 | |
| (859) 341-7867 | 
| Full Name | James P Woods | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | One Medical Village Drive, Edgewood, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497723639 | NPI | - | NPPES | 
| 74395641 | Medicaid | KY | |
| 000000288578 | Other | ANTHEM BLUE SHIELD | |
| 2055501 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1046770 (Kentucky) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 039564 (Kentucky) | Primary | 
| Entity Name | Anesthesia Group Practice Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398  | 
| Mailing Address | Practice Location Address | 
|---|---|
| James P Woods, CRNA Po Box 12749, Covington, KY 41012-0749 Ph: (859) 341-7246  | James P Woods, CRNA One Medical Village Drive, Independent Anesthesiologists Psc, Edgewood, KY 41017 Ph: (859) 341-7246  | 
Cara Lindsay Hansen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867  | |
Ms. Stephanie Anne Stegman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867  | |
Elle Kaiser, DNP,CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867  | |
John F Wellbrock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867  | |
Bernard F Nacu, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867  | |
Shalynn Hart, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 513-817-1150  | |
Mrs. Kristine Marie Maloney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867  |