| William D Smith Jr, CRNA | |
|
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
| (502) 647-4085 | |
| (502) 647-4098 |
| Full Name | William D Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 727 Hospital Dr, Shelbyville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013092808 | NPI | - | NPPES |
| 200902460A | Medicaid | IN | |
| 7100045920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3002895 (Kentucky) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140718000290 |
| Mailing Address | Practice Location Address |
|---|---|
| William D Smith Jr, CRNA 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (502) 647-4085 | William D Smith Jr, CRNA 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4085 |
Mr. Brandon Scott Embry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-852-5851 | |
Chelsea Elizabeth Dresner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Jerred Davis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Donald David Hart Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Alexis Jayne Chambers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 | |
Rosalie Spreen Gray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 |