| Phillip Ellegood, CRNA | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7200 | |
| Not Available |
| Full Name | Phillip Ellegood |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 200 Clinic Dr, Madisonville, 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 |
|---|---|---|---|
| 1922105568 | NPI | - | NPPES |
| 74441429 | Medicaid | KY | |
| 000000219321 | Other | BCBS PROVIDER NUMBER | |
| 1949A | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1949A (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Paducah | Paducah, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apex Anesthesia Partners Pllc | 3476891656 | 29 |
| Entity Name | Northstar Anesthesia Of Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443 |
| Entity Name | Tas Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255735346 PECOS PAC ID: 3274856232 Enrollment ID: O20141223000973 |
| Entity Name | Apex Anesthesia Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902373772 PECOS PAC ID: 3476891656 Enrollment ID: O20190213001951 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Ellegood, CRNA 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 | Phillip Ellegood, CRNA 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Brian Cordell Gibbs Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare 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 |