| Mackenzie Martin, CRNA | |
| 
					425 Lewis Hargett Cir, Lexington, KY 40503-3590  | |
| (859) 268-1030 | |
| Not Available | 
| Full Name | Mackenzie Martin | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 425 Lewis Hargett Cir, Lexington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306586698 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 93493 (West Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 3017780 (Kentucky) | Primary | 
| Entity Name | Pikeville Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281  | 
| Entity Name | Triangle Anesthesia Group, Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mackenzie Martin, CRNA 381 Rocklick Branch Rd, Chapmanville, WV 25508-7651 Ph: (304) 928-4464  | Mackenzie Martin, CRNA 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030  | 
Keesha Ovee Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080  | |
Robert Jason Crafton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Department Of Anesthesiology, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-218-1080  | |
Kathleen Whitehouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000  | |
Richi C Gambrel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5000  | |
Mrs. Cynthia Napier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Saint Joseph Drive, Lexington, KY 40504 Phone: 859-313-1000  | |
Mr. John Stepan Pototsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080  | |
Mr. Austin Twitchell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3480 Yorkshire Medical Park # 100, Lexington, KY 40509 Phone: 859-904-5046  |