| Kevin A Lewellen, CRNA | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Kevin A Lewellen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| 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 |
|---|---|---|---|
| 1124047949 | NPI | - | NPPES |
| 3626474 | Medicaid | TN | |
| 4024090 | Other | TN | BLUE CROSS PROVIDER NUMBE |
| 430066708 | Other | TN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN11125 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 104 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin A Lewellen, CRNA Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Kevin A Lewellen, CRNA Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
William Reno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Fort Defiance Indian Hospital, Corner Or Rt N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8741 | |
Peter Joseph Marinich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Corner Of N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8749 | |
Joseph Scot Denhalter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Vijeyakumari Roberts, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Gregory P Lewandowski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 505-662-9256 | |
Mr. Nathaniel Soriano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8740 |