| Mr Jonathan D Laverty, CRNA | |
|
1025 New Moody Ln, Lagrange, KY 40031-9154 | |
| (502) 222-3886 | |
| (502) 222-8647 |
| Full Name | Mr Jonathan D Laverty |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 1025 New Moody Ln, Lagrange, 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 |
|---|---|---|---|
| 1811081649 | NPI | - | NPPES |
| 74028028 | Medicaid | KY | |
| 000000375186 | Other | KY | GLAS/DT KY PRVD # |
| 1138502 | Medicaid | KY | |
| 000000188229 | Other | KY | ABCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1089893 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mahaska Health Partnership | Oskaloosa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mahaska County Hospital | 2769388677 | 96 |
| Entity Name | Mahaska County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407869852 PECOS PAC ID: 2769388677 Enrollment ID: O20041202000965 |
| Entity Name | Mahaska County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356320659 PECOS PAC ID: 2769388677 Enrollment ID: O20061104000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan D Laverty, CRNA 1011 Hardin Holly, Lagrange, KY 40031-8985 Ph: (502) 222-1170 | Mr Jonathan D Laverty, CRNA 1025 New Moody Ln, Lagrange, KY 40031-9154 Ph: (502) 222-3886 |
Cathy Stolworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Christopher Byron White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Debbie A Feemster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 | |
Karen Butterfield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, Lagrange, KY 40031 Phone: 502-222-3886 Fax: 502-222-8647 |