| John Allen Minichan, CRNA | |
|
2201 Lexington Ave, Ashland, KY 41101 | |
| (606) 327-4000 | |
| Not Available |
| Full Name | John Allen Minichan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 2201 Lexington Ave, Ashland, Kentucky |
| 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 |
|---|---|---|---|
| 1619942505 | NPI | - | NPPES |
| 2097734 | Medicaid | OH | |
| 000000249239 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
| 2604107000 | Medicaid | WV | |
| 74028887 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2888A (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia In Motion Llc | 0648624569 | 5 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Somnolence Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477290468 PECOS PAC ID: 2466831748 Enrollment ID: O20220616000546 |
| Entity Name | Anesthesia In Motion Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144005497 PECOS PAC ID: 0648624569 Enrollment ID: O20230927000372 |
| Mailing Address | Practice Location Address |
|---|---|
| John Allen Minichan, CRNA 3785 Reliable Pkwy, Chicago, IL 60686-0037 Ph: (316) 281-3700 | John Allen Minichan, CRNA 2201 Lexington Ave, Ashland, KY 41101 Ph: (606) 327-4000 |
Stephanie A. Burgess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-833-3791 | |
Gabriel Donald Ramsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Avenue, Ashland, KY 41101 Phone: 606-327-4000 | |
Jason G. Ellis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Joshua W Wells, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 859-408-4000 | |
Jodie L. Workman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Brandi L. Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Derek S. Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 |