Amanda Johnson, CRNA | |
1265 Union Ave, Memphis, TN 38104-3415 | |
(901) 725-5846 | |
Not Available |
Full Name | Amanda Johnson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1265 Union Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750080743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 188467 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 34194 (Tennessee) | Primary |
Entity Name | Medical Anesthesia Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679527501 PECOS PAC ID: 9436047685 Enrollment ID: O20040726000882 |
Mailing Address | Practice Location Address |
---|---|
Amanda Johnson, CRNA 6060 Primacy Pkwy Ste 241, Memphis, TN 38119-5743 Ph: (901) 725-5846 | Amanda Johnson, CRNA 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 725-5846 |
Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872 | |
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846 | |
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 | |
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 | |
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 |