| Mr Kellon Sean Smith, CRNA | |
|
12500 Willowbrook Rd, Cumberland, MD 21502-6393 | |
| (240) 964-3600 | |
| Not Available |
| Full Name | Mr Kellon Sean Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 12500 Willowbrook Rd, Cumberland, Maryland |
| 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 |
|---|---|---|---|
| 1588902340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | R203959 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Potomac Valley Hospital | Keyser, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Anesthesia Ams Llc | 4981825056 | 10 |
| Potomac Valley Hospital Of W Va , Inc | 8123917788 | 65 |
| Entity Name | Cumberland Anesthesia Ams Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531785 PECOS PAC ID: 4981825056 Enrollment ID: O20141015001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kellon Sean Smith, CRNA 115 Baltimore St, Suite 200, Cumberland, MD 21502-2301 Ph: (301) 723-4965 | Mr Kellon Sean Smith, CRNA 12500 Willowbrook Rd, Cumberland, MD 21502-6393 Ph: (240) 964-3600 |
Sarah Coates, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 249 Henderson Ave, Cumberland, MD 21502 Phone: 240-362-7444 | |
Donna Jean Schellhase, RN-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Seton Dr, 2nd Floor, Cumberland, MD 21502 Phone: 301-723-5030 Fax: 301-723-1480 | |
Emily Teets, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-7000 Fax: 240-964-8687 | |
Gelila Getachew Ritchey, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: Mountain View Primary Care 1602 Ford Avenue, Cumberland, MD 21502 Phone: 301-759-4544 Fax: 301-723-4446 | |
Antoinette D Baughman, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-5280 Fax: 301-777-5630 | |
Jessica Rhae Grove, MSN, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 625 Kent Ave Ste 204, Cumberland, MD 21502 Phone: 301-777-7300 Fax: 301-777-7121 | |
Patricia J Squires, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-2580 Fax: 301-777-5630 |