Lori Rivard, CRNA | |
154 Cude Ln, Madison, TN 37115-2202 | |
(615) 865-6268 | |
(615) 868-7378 |
Full Name | Lori Rivard |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 154 Cude Ln, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851470348 | NPI | - | NPPES |
3622064 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 44136 (Tennessee) | Primary |
Entity Name | Specialty Anesthesia Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306319942 PECOS PAC ID: 4688902067 Enrollment ID: O20190822003072 |
Mailing Address | Practice Location Address |
---|---|
Lori Rivard, CRNA Po Box 488, Madison, TN 37116-0488 Ph: (615) 865-6268 | Lori Rivard, CRNA 154 Cude Ln, Madison, TN 37115-2202 Ph: (615) 865-6268 |
Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021 | |
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Alexander W Donesky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503 | |
Laura Elizabeth Andrews, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |