| Taylor Michael Mudd, | |
|
250 Park St, Bowling Green, KY 42101-1795 | |
| (270) 745-1000 | |
| Not Available |
| Full Name | Taylor Michael Mudd |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 250 Park St, Bowling Green, 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 |
|---|---|---|---|
| 1316427164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 183514 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3012665 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Entity Name | Commonwealth Health Corporation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Michael Mudd, 1563 Posey Hill Rd, Mount Juliet, TN 37122-6033 Ph: (615) 351-0185 | Taylor Michael Mudd, 250 Park St, Bowling Green, KY 42101-1795 Ph: (270) 745-1000 |
Christian Michael Kranz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913 | |
Cody S. Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913 | |
Miss Heather G Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913 | |
Kristin K Bateman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913 | |
Bruce Scott Weickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1000 Fax: 270-393-1913 | |
Adam Kuzma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913 | |
Meagan Nicole Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1000 |