Chandler Fussell, | |
1201 Bishop St, Union City, TN 38261-5403 | |
(731) 285-2410 | |
Not Available |
Full Name | Chandler Fussell |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1201 Bishop St, Union City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588419741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 235795 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 36458 (Tennessee) | Primary |
Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
Mailing Address | Practice Location Address |
---|---|
Chandler Fussell, 486 Revell Rd, Dyersburg, TN 38024-7564 Ph: (731) 446-9616 | Chandler Fussell, 1201 Bishop St, Union City, TN 38261-5403 Ph: (731) 285-2410 |
Donald Wayne Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Bishop St, Union City, TN 38261 Phone: 731-885-0787 Fax: 731-885-0756 | |
James D Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 Bishop St, Union City, TN 38261 Phone: 731-885-0787 Fax: 731-885-0756 |