| Jessica Mcdannald, | |
|
1025 New Moody Ln, La Grange, KY 40031-9154 | |
| (502) 222-3347 | |
| Not Available |
| Full Name | Jessica Mcdannald |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 1025 New Moody Ln, La Grange, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689439515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1689439515 (Kentucky) | Primary |
| 207L00000X | Anesthesiology | 4015029 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health La Grange | La grange, KY | Hospital |
| Norton-king's Daughters' Health | Madison, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Louisville Anesthesia Services, Pllc | 2264410661 | 10 |
| Community Medical Associates Inc | 7012811284 | 1368 |
| Sda Consultants Pllc | 3870825912 | 76 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mcdannald, 9422 Civic Way Apt 101, Prospect, KY 40059-5102 Ph: (804) 301-0114 | Jessica Mcdannald, 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-3347 |
Michael J. Phythian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3886 |
Trevor James Evans, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-5388 |