| Terry E Puckett, CRNA | |
|
145 Newcomb Ave, Mount Vernon, KY 40456-2728 | |
| (606) 256-2195 | |
| (606) 256-3947 |
| Full Name | Terry E Puckett |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 145 Newcomb Ave, Mount Vernon, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336257336 | NPI | - | NPPES |
| 74399510 | Medicaid | KY | |
| 000000323242 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1188A (Kentucky) | Primary |
| Entity Name | Rockcastle County Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104890714 PECOS PAC ID: 6103727433 Enrollment ID: O20040119000523 |
| Entity Name | Resource Anesthesia Cumberland Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780930743 PECOS PAC ID: 2961652755 Enrollment ID: O20121102000100 |
| Entity Name | Trustworthy Anesthesia Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942601539 PECOS PAC ID: 2365664927 Enrollment ID: O20141114000891 |
| Entity Name | Sound Physicians Anesthesiology Of Kentucky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144841412 PECOS PAC ID: 4688098908 Enrollment ID: O20200720003652 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry E Puckett, CRNA 145 Newcomb Ave, Mount Vernon, KY 40456-2728 Ph: (606) 256-2195 | Terry E Puckett, CRNA 145 Newcomb Ave, Mount Vernon, KY 40456-2728 Ph: (606) 256-2195 |
Tiffany Patrick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 145 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-2195 |