| Kevin Whelan, CRNA | |
|
2900 16th St, Bedford, IN 47421-3510 | |
| (812) 276-4378 | |
| (812) 275-1246 |
| Full Name | Kevin Whelan |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2900 16th St, Bedford, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245210277 | NPI | - | NPPES |
| 1245210277 | Other | IN | ANTHEM PTAN |
| 200938150 | Medicaid | IN | |
| 163460051 | Other | IN | MEDICARE PTAN |
| 940070019 | Other | IN | MEDICARE PTAN |
| 1102489275 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4379A (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28182637A (Indiana) | Primary |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Entity Name | Taylor County Anesthesia Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659342178 PECOS PAC ID: 5597666883 Enrollment ID: O20040120000017 |
| Entity Name | Greater Louisville Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326126681 PECOS PAC ID: 2264410661 Enrollment ID: O20040712001150 |
| Entity Name | Environ Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831438092 PECOS PAC ID: 3870717754 Enrollment ID: O20140616001501 |
| Entity Name | Anesthesia Health Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20160114001985 |
| Entity Name | Professional Anesthesia Services Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
| Entity Name | Providian Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20190614000874 |
| Entity Name | Deaconess Union County Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003481201 PECOS PAC ID: 5799189866 Enrollment ID: O20210811002781 |
| Entity Name | Trh Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366120370 PECOS PAC ID: 2062866395 Enrollment ID: O20230920003158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Whelan, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Kevin Whelan, CRNA 2900 16th St, Bedford, IN 47421-3510 Ph: (812) 276-4378 |
Samantha Jo Stevens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Richard Westen Breeding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Michelle Diane Lower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 W 16th Street, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1231 | |
Lyndi R Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Mr. Jakob Dillon Burchel, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Mr. Terrance L Kuper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1212 |