Kelly Kovach Good, CRNA | |
975 E Third St, Chattanooga, TN 37403-2147 | |
(423) 778-7608 | |
(423) 778-2360 |
Full Name | Kelly Kovach Good |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 975 E Third St, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093851172 | NPI | - | NPPES |
N410923 | Other | GA | WELLCARE (GA MEDICAID) |
609293426A | Medicaid | GA | |
3633355 | Medicaid | TN | |
4068617 | Other | TN | BLUE CROSS BLUE SHIELD TN |
8052081 | Medicaid | NC | |
P00135923 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN132186 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN10962 (Tennessee) | Primary |
Entity Name | Anesthesiology Consultants Exchange, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670218 PECOS PAC ID: 2365434297 Enrollment ID: O20040331001631 |
Mailing Address | Practice Location Address |
---|---|
Kelly Kovach Good, CRNA Po Box 11225, Chattanooga, TN 37401-2225 Ph: (423) 892-5602 | Kelly Kovach Good, CRNA 975 E Third St, Chattanooga, TN 37403-2147 Ph: (423) 778-7608 |
Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040 | |
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 | |
Eun Hyea Godbold, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525 | |
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400 | |
Mrs. Julie D Baggett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 |