| Michael Paul Clancy, CRNA | |
| 
					1140 Lexington Rd, Georgetown, KY 40324-9330  | |
| (502) 868-1100 | |
| Not Available | 
| Full Name | Michael Paul Clancy | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1140 Lexington Rd, Georgetown, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881408169 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4035089 (Kentucky) | Primary | 
| Entity Name | Kentucky Anesthesia Group Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Paul Clancy, CRNA 3701 Mariner Dr, Evansville, IN 47711-7029 Ph: (706) 993-0780  | Michael Paul Clancy, CRNA 1140 Lexington Rd, Georgetown, KY 40324-9330 Ph: (502) 868-1100  | 
Harry Morgan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  | |
Rebecca Lyons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  | |
Ronald S. Slone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  | |
Steven Riley,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 859-268-1030 Fax: 859-269-4120  | |
Kelly R. Woodard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  | |
Jennifer Briana Volmer, DNP, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  | |
Christopher Hamm,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100  |