| Mr Kevin Dickerson, APRN | |
|
200 E Chestnut St, Louisville, KY 40202-1800 | |
| (502) 636-7111 | |
| Not Available |
| Full Name | Mr Kevin Dickerson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 200 E Chestnut St, Louisville, 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 |
|---|---|---|---|
| 1629636998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3013376 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospital / Norton Healthcare Pavilion / Nor | Louisville, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthesia Services Of Kentucky Pllc | 0244590305 | 351 |
| Universal Anesthesia Services Llc | 9830268341 | 58 |
| Entity Name | Anesthesiology Consultants Enterprises PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427246198 PECOS PAC ID: 9830268671 Enrollment ID: O20080520000047 |
| Entity Name | Universal Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164696282 PECOS PAC ID: 9830268341 Enrollment ID: O20080522000569 |
| Entity Name | Professional Anesthesia Services of Kentucky PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Dickerson, APRN 3112 Timberlake Ct, Jeffersonville, IN 47130-7629 Ph: (812) 989-9650 | Mr Kevin Dickerson, APRN 200 E Chestnut St, Louisville, KY 40202-1800 Ph: (502) 636-7111 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 |
Ann Adams Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-8000 |
Teresa O. Kraus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-473-2132 Fax: 502-459-0923 |
Anita Rose Feathers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-473-2132 Fax: 502-459-0923 |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |
Ashley Hull, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-8000 |