| Kent M Fellers, CRNA | |
|
14000 Fivay Rd, Hudson, FL 34667-7103 | |
| (260) 484-8551 | |
| (260) 482-5060 |
| Full Name | Kent M Fellers |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 14000 Fivay Rd, Hudson, Florida |
| 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 |
|---|---|---|---|
| 1104831791 | NPI | - | NPPES |
| 000000675839 | Other | IN | ANTHEM |
| 200998230 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Group Associates Pc | 0547233959 | 47 |
| Entity Name | Anesthesiology Group Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194761262 PECOS PAC ID: 0547233959 Enrollment ID: O20040814000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent M Fellers, CRNA 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551 | Kent M Fellers, CRNA 14000 Fivay Rd, Hudson, FL 34667-7103 Ph: (260) 484-8551 |
Michael L Favio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Kimberly Lee Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-868-5400 | |
Pamela Christina Vanvliet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2929 | |
Vito Caniglia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Joan Marie Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-861-5155 Fax: 727-849-0759 | |
Kayla Yvonne Sharay Ashton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2929 |