| Mr Kenneth Patton Speak, CRNA | |
|
127 Health Care Dr, Pennington Gap, VA 24277-2853 | |
| (276) 546-1440 | |
| (276) 546-5759 |
| Full Name | Mr Kenneth Patton Speak |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 127 Health Care Dr, Pennington Gap, Virginia |
| 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 |
|---|---|---|---|
| 1780753137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 33147 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tennessee Valley Anesthesia Associates Llc | 1254677222 | 11 |
| Gastroenterology Associates | 4789781048 | 24 |
| Entity Name | Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770578270 PECOS PAC ID: 4789781048 Enrollment ID: O20070924000124 |
| Entity Name | Northeast Tennessee Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437436102 PECOS PAC ID: 2163697996 Enrollment ID: O20111207000018 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Tennessee Valley Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053881706 PECOS PAC ID: 1254677222 Enrollment ID: O20190111001324 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Patton Speak, CRNA 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Mr Kenneth Patton Speak, CRNA 127 Health Care Dr, Pennington Gap, VA 24277-2853 Ph: (276) 546-1440 |
Mr. Gary Saylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 127 Health Care Dr, Pennington Gap, VA 24277 Phone: 276-546-1440 Fax: 276-546-5759 |