| Susan Kirkwood, CRNA | |
|
317 N English St, Leitchfield, KY 42754-2228 | |
| (502) 550-4164 | |
| Not Available |
| Full Name | Susan Kirkwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 317 N English St, Leitchfield, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366440281 | NPI | - | NPPES |
| 7100004550 | Medicaid | KY | |
| 000000669363 | Other | ANTHEM | |
| 200487620 | Medicaid | IN | |
| 2491049 | Medicaid | OH | |
| 412840118 | Other | IN | MEDICARE |
| 611077369 1295716850 | Other | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 295272 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1048153 2125A (Kentucky) | Primary |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Entity Name | Lec Ancillary Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982917365 PECOS PAC ID: 0345364725 Enrollment ID: O20100908000467 |
| 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 | 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 |
|---|---|
| Susan Kirkwood, CRNA 317 N English St, Leitchfield, KY 42754-2228 Ph: (502) 550-4164 | Susan Kirkwood, CRNA 317 N English St, Leitchfield, KY 42754-2228 Ph: (502) 550-4164 |
John Anthony Lyons, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 | |
Rodney D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Jared Crocker, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-274-0480 | |
Mrs. Merry Lynn Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 Fax: 270-259-1662 | |
Callie J Hancock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9512 | |
Mrs. Richelle Lynn Humphrey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 904 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9470 |