Lucas John Moersdorf, CRNA | |
990 Oak Ridge Turnpike, Mmc Anesthesia Pc, Oak Ridge, TN 37830-6976 | |
(919) 858-6303 | |
(770) 237-1124 |
Full Name | Lucas John Moersdorf |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 990 Oak Ridge Turnpike, Oak Ridge, 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 |
---|---|---|---|
1912083379 | NPI | - | NPPES |
136698 | Other | TN | RN LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 136698 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 12486 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Resource Anesthesia, P.c. | 1254228141 | 25 |
Lifelinc Anesthesia Ii, Pllc | 2668658493 | 90 |
Mmc Anesthesia Group, Pc | 6901795830 | 180 |
Deaconess Hospital Inc | 9032021431 | 312 |
Entity Name | Resource Anesthesia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
Entity Name | Mmc Anesthesia Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Entity Name | Priority Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689816365 PECOS PAC ID: 0446300073 Enrollment ID: O20090602000588 |
Entity Name | Lakeway Regional Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891857371 PECOS PAC ID: 5294755229 Enrollment ID: O20090929000383 |
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 | Pcet Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1225387640 PECOS PAC ID: 0042461352 Enrollment ID: O20121114000580 |
Mailing Address | Practice Location Address |
---|---|
Lucas John Moersdorf, CRNA Po Box 5059, Oak Ridge, TN 37831-5059 Ph: (919) 858-6303 | Lucas John Moersdorf, CRNA 990 Oak Ridge Turnpike, Mmc Anesthesia Pc, Oak Ridge, TN 37830-6976 Ph: (919) 858-6303 |
Harber Ingle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 800-611-6713 | |
Kenneth L Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 | |
Lacey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-835-3560 | |
Doris Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 | |
Micah Shea Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 931-858-6303 Fax: 931-858-6305 | |
Roger B Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 800-611-6713 Fax: 770-237-1124 | |
Christina Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 |