| Michael R Hagerman, CRNA | |
|
1305 N Elm St, Henderson, KY 42420-2783 | |
| (270) 827-0353 | |
| (270) 827-4966 |
| Full Name | Michael R Hagerman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1305 N Elm St, Henderson, 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 |
|---|---|---|---|
| 1225309628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3007301 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| 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 | Methodist Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
| Entity Name | Ohio County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740812031 PECOS PAC ID: 3577477264 Enrollment ID: O20200511001913 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210104001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Hagerman, CRNA Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | Michael R Hagerman, CRNA 1305 N Elm St, Henderson, KY 42420-2783 Ph: (270) 827-0353 |
John T Melton Ii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St, Anesthesia Department, Henderson, KY 42420 Phone: 270-827-7700 Fax: 270-827-7469 | |
Sharon K Adkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-0353 Fax: 270-827-4966 | |
Meredith L Schmitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7700 Fax: 270-827-7469 |