Mark Guidry, CRNA | |
501 20th St, Suite 606, Knoxville, TN 37916 | |
(865) 546-8040 | |
(865) 541-2787 |
Full Name | Mark Guidry |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 501 20th St, Knoxville, 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 |
---|---|---|---|
1679519748 | NPI | - | NPPES |
430057884 | Other | TN | MEDICARE TRAVELERS |
3902369 | Medicaid | TN | |
4108667 | Other | TN | BLUE CROSS |
100031535 | Other | TN | PHP TENNCARE |
4108667 | Other | TN | BLUECARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 11019 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lcms Cardiovascular Diseases, Llc | 1951541515 | 30 |
Entity Name | Lake Charles Anesthesiology, Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
Entity Name | Lcms Cardiovascular Diseases, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285869370 PECOS PAC ID: 1951541515 Enrollment ID: O20130703000206 |
Entity Name | Apollo Medical Group Of Lake Charles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356063861 PECOS PAC ID: 0143690909 Enrollment ID: O20230112001320 |
Mailing Address | Practice Location Address |
---|---|
Mark Guidry, CRNA 501 20th St, Suite 606, Knoxville, TN 37916-1809 Ph: (865) 546-8040 | Mark Guidry, CRNA 501 20th St, Suite 606, Knoxville, TN 37916 Ph: (865) 546-8040 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |