Glenn Michael Evans, RN/SRNA | |
130 W Ravine Rd, Kingsport, TN 37660-3837 | |
(423) 224-4000 | |
Not Available |
Full Name | Glenn Michael Evans |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 130 W Ravine Rd, Kingsport, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982294237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 220234 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 30283 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Anesthesia Solutions Inc | 7315200664 | 28 |
American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
Entity Name | American Anesthesiology Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Entity Name | Advanced Anesthesia Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164772109 PECOS PAC ID: 7315200664 Enrollment ID: O20180419000153 |
Mailing Address | Practice Location Address |
---|---|
Glenn Michael Evans, RN/SRNA 902 Broad St Apt 6, Kingsport, TN 37660-3815 Ph: (423) 863-1872 | Glenn Michael Evans, RN/SRNA 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000 |
Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121 | |
Geena Sollecito, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451 | |
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122 | |
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144 | |
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711 | |
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 |