| Mrs Kerry Lee Blair, CRNA | |
|
620 N Main St # 2, Harrison, AR 72601-2911 | |
| (870) 414-5000 | |
| (870) 414-4949 |
| Full Name | Mrs Kerry Lee Blair |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 620 N Main St # 2, Harrison, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952634594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 110097 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman-oak Hill Health System | 8325942253 | 386 |
| North Arkansas Regional Medical Center | 5193615896 | 86 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kerry Lee Blair, CRNA Po Box 2990, Harrison, AR 72602-2990 Ph: (870) 414-5000 | Mrs Kerry Lee Blair, CRNA 620 N Main St # 2, Harrison, AR 72601-2911 Ph: (870) 414-5000 |
James L Shealy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 N Willow St, Harrison, AR 72601 Phone: 870-424-7070 Fax: 870-424-6616 | |
Makaya Rhea Baker, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St # 2, Harrison, AR 72601 Phone: 870-414-4000 Fax: 870-414-4949 | |
Garry M Melton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 620 N Willow St, Harrison, AR 72601 Phone: 570-424-7070 Fax: 870-424-6616 | |
Krista E Scaggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 N Main, Harrison, AR 72601 Phone: 870-414-4000 Fax: 870-414-4961 | |
Ms. Luana D Booth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 North Main, Harrison, AR 72601 Phone: 870-414-4000 |