Gabriel Thomas Perry, | |
199 Brandonwood Dr, Johnson City, TN 37604-2153 | |
(423) 773-4656 | |
Not Available |
Full Name | Gabriel Thomas Perry |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 199 Brandonwood Dr, Johnson 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 |
---|---|---|---|
1306594239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0000224340 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 33440 (Tennessee) | Primary |
Entity Name | Paragon Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626 |
Mailing Address | Practice Location Address |
---|---|
Gabriel Thomas Perry, 199 Brandonwood Dr, Johnson City, TN 37604-2153 Ph: (423) 773-4656 | Gabriel Thomas Perry, 199 Brandonwood Dr, Johnson City, TN 37604-2153 Ph: (423) 773-4656 |
Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Lisa W Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142 | |
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697 | |
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776 | |
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776 | |
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 |