Amanda Bracken, CRNA | |
501 20th St, Suite 606, Knoxville, TN 37916-1809 | |
(865) 546-8040 | |
Not Available |
Full Name | Amanda Bracken |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 501 20th St, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255377362 | NPI | - | NPPES |
3636343 | Medicaid | TN | |
100050100 | Other | TN | PHP TENNCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN11007826 (Florida) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 12018 (Tennessee) | Secondary |
Entity Name | Alta Anesthesia Associates Of Georgia, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222 |
Mailing Address | Practice Location Address |
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Amanda Bracken, CRNA 501 20th St, Suite 606, Knoxville, TN 37916-1809 Ph: (865) 546-8040 | Amanda Bracken, CRNA 501 20th St, Suite 606, Knoxville, TN 37916-1809 Ph: (865) 546-8040 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |