| Matthew Steven Wynn, CRNA | |
|
100 Medical Center Dr, Hazard, KY 41701-9421 | |
| (506) 439-6600 | |
| Not Available |
| Full Name | Matthew Steven Wynn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 100 Medical Center Dr, Hazard, 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 |
|---|---|---|---|
| 1306453089 | NPI | - | NPPES |
| 3015679 | Other | KY | KENTUCKY BOARD OF NURSING APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1136040 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3015679 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clark Regional Medical Center | Winchester, KY | Hospital |
| Saint Joseph Mount Sterling | Mount sterling, KY | Hospital |
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Triangle Anesthesia Group, Psc | 9436161585 | 64 |
| 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 | 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 |
|---|---|
| Matthew Steven Wynn, CRNA 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Matthew Steven Wynn, CRNA 100 Medical Center Dr, Hazard, KY 41701-9421 Ph: (506) 439-6600 |
Kaitlyn E Shields, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 859-268-1030 Fax: 859-269-4120 | |
Brad S. Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Mr. Michael A Shilot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Sarah Ratliff, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Kevin J Stanley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 859-268-1030 Fax: 859-269-4120 | |
Silas Shane Mcfall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Edna Sue Stroud, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 |