Melissa Carol Blackwood, CRNA | |
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
(865) 983-7211 | |
(865) 983-8043 |
Full Name | Melissa Carol Blackwood |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 907 E Lamar Alexander Pkwy, Maryville, 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 |
---|---|---|---|
1043547524 | NPI | - | NPPES |
4246033 | Other | TN | BLUE CROSS BLUE SHIELD TN |
1516508 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN14537 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blount Memorial Hospital | Maryville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blount Memorial Physician Group Inc | 6406844174 | 229 |
Entity Name | Blount Memorial Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
Entity Name | Maryville Anesthesiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336199645 PECOS PAC ID: 0345257606 Enrollment ID: O20060310000282 |
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 |
Mailing Address | Practice Location Address |
---|---|
Melissa Carol Blackwood, CRNA Po Box 3181, Indianapolis, IN 46206-3181 Ph: (317) 614-9863 | Melissa Carol Blackwood, CRNA 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 983-7211 |
Donna Marie Mcmahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-983-8043 | |
Crystal E Aycocke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-983-8043 | |
Dr. Chad Andrew Mcclure, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 | |
Janet Hudson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Michelle D Herschelman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-983-8043 | |
Kelsey Keller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 |