Mr Edward K Petrusch, CRNA in Alvaton, KY - Nurse Anesthetist, Certified Registered

Mr Edward K Petrusch, CRNA is a Nurse Anesthetist, Certified Registered based in Alvaton, Kentucky. Mr Edward K Petrusch is licensed to practice in Kentucky (license number 820A) and his current practice location is 444 Collett Bridge Rd, Alvaton, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 842-0433.

NPI number for Mr Edward K Petrusch is 1386647337 and his current mailing address is 444 Collett Bridge Rd, Alvaton, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386647337.

Contact Information

	Mr Edward K Petrusch, CRNA
	444 Collett Bridge Rd, Alvaton, KY 42122-9675
	(270) 842-0433
	Not Available

Provider's Profile

Full Name	Mr Edward K Petrusch
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	444 Collett Bridge Rd, Alvaton, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1386647337
Provider Enumeration Date: 05/23/2005
Last Update Date: 04/11/2013

Medical Identifiers

Medical identifiers for Mr Edward K Petrusch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386647337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	820A (Kentucky)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward K Petrusch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Edward K Petrusch, CRNA 444 Collett Bridge Rd, Alvaton, KY 42122-9675 Ph: (270) 842-0433	Mr Edward K Petrusch, CRNA 444 Collett Bridge Rd, Alvaton, KY 42122-9675 Ph: (270) 842-0433

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Mr Edward K Petrusch, CRNA - Nurse Anesthetist, Certified Registered in Alvaton, KY