| Mary Houser, | |
|
1099 Medical Center Cir, Mayfield, KY 42066-1179 | |
| (270) 251-4100 | |
| Not Available |
| Full Name | Mary Houser |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1099 Medical Center Cir, Mayfield, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518686500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3018256 (Kentucky) | Primary |
| Entity Name | Tas Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255735346 PECOS PAC ID: 3274856232 Enrollment ID: O20141223000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Houser, 7135 Old Houser Rd, Boaz, KY 42027-9643 Ph: () - | Mary Houser, 1099 Medical Center Cir, Mayfield, KY 42066-1179 Ph: (270) 251-4100 |
Amanda Massey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4100 | |
Teena Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1549 Bellemeade Dr, Mayfield, KY 42066 Phone: 270-251-0079 Fax: 270-251-0079 | |
Ms. Rebecca Fletcher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4100 | |
Linda G Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1029 Medical Dr, Mayfield, KY 42066 Phone: 270-748-6891 Fax: 270-554-8103 | |
Linda Riley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Mayfield, KY 42066 Phone: 573-686-5550 |