| Richard Pennington, CRNA | |
|
441 N Wabash Ave, Marion, IN 46952-2612 | |
| (765) 660-6000 | |
| Not Available |
| Full Name | Richard Pennington |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 441 N Wabash Ave, Marion, Indiana |
| 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 |
|---|---|---|---|
| 1487166757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28201310A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aas Indiana Llc | 4688045115 | 43 |
| Dukes Physician Services Llc | 3375508211 | 7 |
| Entity Name | Dukes Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255396883 PECOS PAC ID: 3375508211 Enrollment ID: O20041119000956 |
| Entity Name | Northstar Anesthesia of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Iceland Anesthesia Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Entity Name | Aas Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Pennington, CRNA 3442 S Lincoln Blvd, Marion, IN 46953-4504 Ph: (765) 506-7553 | Richard Pennington, CRNA 441 N Wabash Ave, Marion, IN 46952-2612 Ph: (765) 660-6000 |
Maggie Epris Jones, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-660-6000 |
Claire D Faia, DNP-NA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-660-6000 |
Mrs. Kendra Lyn Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-660-6000 |