Kenneth Ian Packer, | |
877 Jefferson Ave, Memphis, TN 38103-2807 | |
(901) 545-7100 | |
Not Available |
Full Name | Kenneth Ian Packer |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 877 Jefferson Ave, Memphis, 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 |
---|---|---|---|
1437779592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 10008152APRN-CRNA (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 27755 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Anesthesiology Associates Llc | 6901702869 | 205 |
Entity Name | University Anesthesiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Ian Packer, 1572 Overton Park Ave Apt 21, Memphis, TN 38112-5165 Ph: (757) 652-6578 | Kenneth Ian Packer, 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 545-7100 |
Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872 | |
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Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
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Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 | |
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