| Matthew Moren, CRNA | |
|
795 Eastern Byp, Bldg 2 Ste 6, Richmond, KY 40475-2406 | |
| (859) 625-1879 | |
| Not Available |
| Full Name | Matthew Moren |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 795 Eastern Byp, Richmond, Kentucky |
| 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 |
|---|---|---|---|
| 1710989371 | NPI | - | NPPES |
| 2690262 | Medicaid | OH | |
| 74006750 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.08833-NA (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3004199 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Richmond | Richmond, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prodigy Office Anesthesia, Llc | 8921450776 | 9 |
| Entity Name | Commonwealth Anesthesia, PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Entity Name | Danville Anesthesia Associates, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821038696 PECOS PAC ID: 9032016910 Enrollment ID: O20031218000008 |
| 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 | Prodigy Office Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639950140 PECOS PAC ID: 8921450776 Enrollment ID: O20240117004429 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Moren, CRNA 317 Savanna Dr, Richmond, KY 40475-7513 Ph: (859) 582-3840 | Matthew Moren, CRNA 795 Eastern Byp, Bldg 2 Ste 6, Richmond, KY 40475-2406 Ph: (859) 625-1879 |
Jordan Trygar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Eastern Byp, Richmond, KY 40475 Phone: 859-624-1879 |
Ervin R Yoder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Pattie A Clay Hospital, 801 Eastern Bypass, Richmond, KY 40475 Phone: 859-624-1879 Fax: 859-625-3171 |
Timothy V Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Pattie A Clay Hospital, 801 Eastern Bypass, Richmond, KY 40475 Phone: 859-624-1879 Fax: 859-625-3171 |
Cameron Johnson, CRNA, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 130 Beaver Dr, Richmond, KY 40475 Phone: 859-582-0406 |
William J Mcavoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Pattie A Clay Hospital, 801 Eastern Bypass, Richmond, KY 40475 Phone: 859-624-1879 Fax: 859-625-3171 |
Bradley G Gammill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Pattie A Clay Hospital, 801 Eastern Bypass, Richmond, KY 40475 Phone: 859-624-1879 Fax: 859-625-3171 |
Paul J Esker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 Eastern Bypass, Pattie A Clay Hospital, Richmond, KY 40475 Phone: 859-624-1879 Fax: 859-625-3171 |