| Jesse Kelley, | |
|
500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | |
| (757) 594-2000 | |
| Not Available |
| Full Name | Jesse Kelley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 500 J Clyde Morris Blvd, Newport News, Virginia |
| 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 |
|---|---|---|---|
| 1790336261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024178769 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Lexington | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Kentucky Anesthesia P.s.c. | 4880508712 | 54 |
| Entity Name | Central Kentucky Anesthesia P.s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518083161 PECOS PAC ID: 4880508712 Enrollment ID: O20031115000040 |
| 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 |
|---|---|
| Jesse Kelley, 2633 Mulberry Loop, Virginia Beach, VA 23456-7803 Ph: () - | Jesse Kelley, 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 Ph: (757) 594-2000 |
Mrs. Sparkle Mahogany Potter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 104, Newport News, VA 23606 Phone: 757-659-6285 | |
Ms. Erica R Nipper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 | |
Marsc Danielle Mertilus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 | |
David Roger Shoemaker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 Fax: 757-594-3005 | |
Ms. Connie B. Reitz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 Bernardine Dr, Newport News, VA 23602 Phone: 757-886-6755 | |
Mrs. Jennifer Laurie Esposito, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11848 Rock Landing Dr, Newport News, VA 23606 Phone: 757-591-2260 Fax: 757-591-2001 | |
Frankie R Carr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 |