| Lacy S Kelly, CRNA | |
|
1400 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | |
| (205) 345-5500 | |
| Not Available |
| Full Name | Lacy S Kelly |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1400 Mcfarland Blvd N, Tuscaloosa, Alabama |
| 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 |
|---|---|---|---|
| 1477792315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-102873 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Huntsville Hospital Anesthesia | 7315990751 | 150 |
| Entity Name | Huntsville Anesthesiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073661492 PECOS PAC ID: 0749171262 Enrollment ID: O20040323001826 |
| Entity Name | Comprehensive Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194704742 PECOS PAC ID: 8123081429 Enrollment ID: O20041108000892 |
| Entity Name | Huntsville Hospital Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy S Kelly, CRNA 11337 Kensington Ln, Northport, AL 35475-3498 Ph: (205) 317-7999 | Lacy S Kelly, CRNA 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 Ph: (205) 345-5500 |
Amy Brister, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 256-683-7496 | |
Tonya Via, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7755 | |
Mr. Joseph Lee Stork Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7111 | |
Mr. Arvil Boler Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 809 University Blvd E, -, Tuscaloosa, AL 35401 Phone: 205-759-7111 | |
Soon Ja Stanley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7352 Fax: 205-759-6397 | |
Melissa Newell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152 | |
Lisa J. Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152 |