| Jerl David Stewart, CRNA | |
|
1000 Saint Joseph Lane, London, KY 40741-8345 | |
| (606) 330-6000 | |
| (606) 330-7825 |
| Full Name | Jerl David Stewart |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Saint Joseph Lane, London, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689815110 | NPI | - | NPPES |
| 177959001 | Medicaid | AR | |
| 7100103680 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R82527 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3006450 (Kentucky) | Primary |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20161012002624 |
| Entity Name | Capital Anesthesia Solutions Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023665882 PECOS PAC ID: 0446681548 Enrollment ID: O20200505001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerl David Stewart, CRNA 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 Ph: (606) 330-6000 | Jerl David Stewart, CRNA 1000 Saint Joseph Lane, London, KY 40741-8345 Ph: (606) 330-6000 |
Mr. Jason Earl Wilson, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 242 Deerfoot Dr, London, KY 40741 Phone: 606-862-2686 | |
James M Shilling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 310 E 9th St, London, KY 40741 Phone: 606-877-3931 Fax: 606-877-3978 | |
Ms. Reida A Sowden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 | |
Linda Fay Hall, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, Anesthesia Department, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Laura Alexis Brannon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Ms. Kay R Chamberlain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 |