| Kelly Jean Martin, CRNA | |
|
7101 Jahnke Rd, Richmond, VA 23225-4017 | |
| (804) 483-0745 | |
| Not Available |
| Full Name | Kelly Jean Martin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 7101 Jahnke Rd, Richmond, Virginia |
| 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 |
|---|---|---|---|
| 1235706953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 133715 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1046794 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dogwood Anesthesia Providers Llc | 2769853084 | 158 |
| Entity Name | Dogwood Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Jean Martin, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999 | Kelly Jean Martin, CRNA 7101 Jahnke Rd, Richmond, VA 23225-4017 Ph: (804) 483-0745 |
Janine L Gibbons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-288-6258 Fax: 804-282-9921 | |
Karen L Hague, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4937 | |
Lisa Broaddus Ziegler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, Richmond, VA 23226 Phone: 804-285-2011 | |
Caleb Lesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-673-1038 | |
Michael R. Mercer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Dept. Of Anesthesiology/crna, Richmond, VA 23298 Phone: 804-628-6990 Fax: 804-628-6932 | |
Diana Marcela Rodriguez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-300-0757 | |
Eric J Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Leigh St, Richmond, VA 23298 Phone: 804-828-7247 |