| Tara Lewis, CRNA | |
|
81 Ball Park Rd, Harlan, KY 40831-1701 | |
| (606) 573-8100 | |
| Not Available |
| Full Name | Tara Lewis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 81 Ball Park Rd, Harlan, Kentucky |
| 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 |
|---|---|---|---|
| 1902045206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 47146 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harlan Arh Hospital | Harlan, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triangle Anesthesia Group, Psc | 9436161585 | 64 |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lewis, CRNA 3320 Tates Creek Rd, 204, Lexington, KY 40502-3400 Ph: (859) 268-1030 | Tara Lewis, CRNA 81 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-8100 |
Misty Brashears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 81 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-8100 | |
Earl E White Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 81 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-8100 Fax: 606-573-8105 | |
Ronald Witt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 81 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-8100 |