Ernest Jay Gross, CRNA is a
Nurse Anesthetist, Certified Registered based in Providence, Kentucky. Ernest Jay Gross is licensed to practice in Iowa (license number D166143) and his current practice location is
206 Locust St, Providence, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(205) 919-0863.
NPI number for Ernest Jay Gross is 1043640840 and his current mailing address is 206 Locust St, Providence, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043640840.
Provider's Profile
| Full Name | Ernest Jay Gross |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 206 Locust St, Providence, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043640840
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 11/22/2023
Medical Identifiers
Medical identifiers for Ernest Jay Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043640840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2329494 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP11000776 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 52674 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 27565 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D166143 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ernest Jay Gross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ernest Jay Gross, CRNA 206 Locust St, Providence, KY 42450-1514 Ph: (205) 919-0863 | Ernest Jay Gross, CRNA 206 Locust St, Providence, KY 42450-1514 Ph: (205) 919-0863 |
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