| Richard Kirby, | |
|
1500 S Lake Park Ave, Hobart, IN 46342-6638 | |
| (219) 286-3372 | |
| Not Available |
| Full Name | Richard Kirby |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1500 S Lake Park Ave, Hobart, 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 |
|---|---|---|---|
| 1710554902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28216600A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28216600A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Hospital | Crown point, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sda Consultants Pllc | 3870825912 | 31 |
| Stat Anesthesia Specialists Ltd | 8123031473 | 15 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724781 PECOS PAC ID: 8123031473 Enrollment ID: O20070529000372 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Entity Name | Jebs Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Kirby, 369 N 400 E, Valparaiso, IN 46383-9705 Ph: () - | Richard Kirby, 1500 S Lake Park Ave, Hobart, IN 46342-6638 Ph: (219) 286-3372 |
Steven Burkett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6425 | |
Rodrigo Garcia, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 | |
Dr. Chasity Lynn Stahl, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-310-5437 | |
Kenneth A Ebert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 | |
Benedict Charlley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6425 | |
Stephanie Dines, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 |