| Angela S Lane, CRNA | |
|
161 Mount Pelia Rd, Martin, TN 38237-3811 | |
| (731) 588-0001 | |
| (731) 587-2775 |
| Full Name | Angela S Lane |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 161 Mount Pelia Rd, Martin, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801923727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN 12520 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Purchase Medical Center | Mayfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tas Of Kentucky Llc | 3274856232 | 8 |
| Entity Name | Tas Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255735346 PECOS PAC ID: 3274856232 Enrollment ID: O20141223000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela S Lane, CRNA 219 Pair Rd, Martin, TN 38237-5662 Ph: (731) 588-0001 | Angela S Lane, CRNA 161 Mount Pelia Rd, Martin, TN 38237-3811 Ph: (731) 588-0001 |
Brenn Mitchell Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Amelia R Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Joseph Michael Morel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Timothy Glenn Rigsbee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Christopher Paul Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 |