| Kevin Ray Hansen, CRNA | |
|
1920 Atherholt Rd, Lynchburg, VA 24501-1104 | |
| (434) 200-3000 | |
| Not Available |
| Full Name | Kevin Ray Hansen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1920 Atherholt Rd, Lynchburg, Virginia |
| 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 |
|---|---|---|---|
| 1912220997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 219307 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024179099 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centra Medical Group Llc | 4789606088 | 681 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Entity Name | Surgery Center Of Lynchburg Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033605969 PECOS PAC ID: 6204188113 Enrollment ID: O20181003003817 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Ray Hansen, CRNA 111 Wheatland Ct, Lynchburg, VA 24503-3359 Ph: (336) 970-0808 | Kevin Ray Hansen, CRNA 1920 Atherholt Rd, Lynchburg, VA 24501-1104 Ph: (434) 200-3000 |
Jeffrey Grey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Brooks Tanner Nielsen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 435-773-3302 | |
Anila Sodhi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915 | |
Allyson Danielle Brasseur, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
William Lee Pearce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Amy M. Merritt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915 | |
Mrs. Rachel Carlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 |