Kristina K Widdifield, CRNA | |
100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | |
(931) 528-7877 | |
(931) 526-3261 |
Full Name | Kristina K Widdifield |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 100 W 4th St, Cookeville, 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 |
---|---|---|---|
1932445384 | NPI | - | NPPES |
1530800 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 165246 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cumberland Medical Center | Crossville, TN | Hospital |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia Ii, Pllc | 2668658493 | 90 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Upper Cumberland Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710919980 PECOS PAC ID: 7012800899 Enrollment ID: O20040205000350 |
Entity Name | Genesis Anesthesia Services, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316236367 PECOS PAC ID: 2264616101 Enrollment ID: O20110418000529 |
Entity Name | Lifelinc Anesthesia Ii, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
Entity Name | Cornerstone Anesthesia Group,pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881006658 PECOS PAC ID: 0840595237 Enrollment ID: O20160223001181 |
Mailing Address | Practice Location Address |
---|---|
Kristina K Widdifield, CRNA 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 Ph: (931) 528-7877 | Kristina K Widdifield, CRNA 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 Ph: (931) 528-7877 |
Madelaine Pruitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 601-826-2386 | |
Mr. Lawrence A Epps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Michael Brandon Hardison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
James F Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Mr. Mark A Thomason, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Joseph Patrick Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St Ste 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Aaron A Jones, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 W 4th St Ste 100, Cookeville, TN 38501 Phone: 931-526-8115 Fax: 952-442-3620 |