Kristina Elizabeth Mitchem, CRNA | |
10415 Wallace Alley St, Kingsport, TN 37663-3936 | |
(423) 390-0451 | |
Not Available |
Full Name | Kristina Elizabeth Mitchem |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 10415 Wallace Alley St, Kingsport, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265048904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 201229 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28202 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Anesthesia Pc | 8921044744 | 114 |
Entity Name | Anesthesia And Pain Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750399127 PECOS PAC ID: 1355239385 Enrollment ID: O20040310000239 |
Entity Name | Paragon Anesthesia Pc |
---|---|
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 |
---|---|
Kristina Elizabeth Mitchem, CRNA 10451 Wallace Alley St, Kingsport, TN 37663 Ph: (423) 390-0451 | Kristina Elizabeth Mitchem, CRNA 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451 |
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 |