| Ms Kelly A Lutz, CRNA | |
|
100 N Academy Ave, Danville, PA 17822-2025 | |
| (570) 271-6578 | |
| Not Available |
| Full Name | Ms Kelly A Lutz |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1356647002 | NPI | - | NPPES |
| 103112744 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN622165 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Associates In Healthcare, Inc | 6406755651 | 338 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Entity Name | Methodist Associates In Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly A Lutz, CRNA 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144 | Ms Kelly A Lutz, CRNA 100 N Academy Ave, Danville, PA 17822-2025 Ph: (570) 271-6578 |
Mr. Bernard J. Gilligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Thomas G. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Matthew Payne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Marianne E. Pavis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Ms. Mary M. Podgurski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Daniel C. Pace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 | |
Stacey Vernon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Aademy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 |