| Kathleen M Douglass, CRNA | |
|
740 E State St, Sharon, PA 16146-3328 | |
| (724) 983-7310 | |
| (724) 983-2797 |
| Full Name | Kathleen M Douglass |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 740 E State St, Sharon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811394489 | NPI | - | NPPES |
| PENDING | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN610072 (Pennsylvania) | Primary |
| Entity Name | Keystone Anesthesia Consultants, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450751 PECOS PAC ID: 2769378751 Enrollment ID: O20040226000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Douglass, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Kathleen M Douglass, CRNA 740 E State St, Sharon, PA 16146-3328 Ph: (724) 983-7310 |
Thomas G Mason, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-7310 Fax: 724-983-2797 | |
Sharon Richards, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Jameson Hospital, Sharon, PA 16146 Phone: 724-983-3911 | |
Christopher T Breznai, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-7310 Fax: 724-983-2797 | |
Linda Haynes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 740 E State St, Sharon Regional Health System, Sharon, PA 16146 Phone: 724-983-7310 | |
Benita A Rice, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-7310 Fax: 724-983-2797 | |
Daniel Burick, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-3911 | |
Christine L Buckwalter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 740 E State St, Sharon, PA 16146 Phone: 724-983-3911 |