| Mrs Robinel Bradshaw, CRNA | |
|
900 Hospital Dr, Madisonville, KY 42431-1644 | |
| (270) 825-5100 | |
| Not Available |
| Full Name | Mrs Robinel Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 900 Hospital Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326078775 | NPI | - | NPPES |
| 000000044258 | Other | BCBS PROVIDER NUMBER | |
| LICENSE NUMBER | Other | KY | 2030A |
| 74452509 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2030A (Kentucky) | Primary |
| Entity Name | Covenant Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972129286 PECOS PAC ID: 9830509686 Enrollment ID: O20201105001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Robinel Bradshaw, CRNA 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-5100 | Mrs Robinel Bradshaw, CRNA 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (270) 825-5100 |
Brian Cordell Gibbs Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 785-717-9504 |
Michael David Crider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 |
Tammy Ann Bishop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7346 |
Travis Laffoon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-824-3682 Fax: 270-824-3675 |
Ronald Ray Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 |
Rihana Paige Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-350-3703 |
Michelle A. Addington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 |