| Mr Robert Holland, CRNA | |
|
910 Wallace Ave, Leitchfield, KY 42754 | |
| (270) 274-0480 | |
| (270) 274-0482 |
| Full Name | Mr Robert Holland |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 910 Wallace Ave, Leitchfield, 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 |
|---|---|---|---|
| 1427434026 | NPI | - | NPPES |
| 7100378870 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3009649 (Kentucky) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 106744 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triangle Anesthesia Group, Psc | 9436161585 | 64 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Holland, CRNA 1100 Riverwood Rd, Murray, KY 42071-9393 Ph: (270) 705-7368 | Mr Robert Holland, CRNA 910 Wallace Ave, Leitchfield, KY 42754 Ph: (270) 274-0480 |
John Anthony Lyons, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Rodney D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Jared Crocker, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-274-0480 | |
Mrs. Merry Lynn Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 Fax: 270-259-1662 | |
Callie J Hancock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Mrs. Richelle Lynn Humphrey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Susan Kirkwood, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 317 N English St, Leitchfield, KY 42754 Phone: 502-550-4164 |