Michael Donohue, CRNA | |
100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | |
(931) 528-7877 | |
(931) 526-3261 |
Full Name | Michael Donohue |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 W 4th St, Cookeville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356339634 | NPI | - | NPPES |
3628683 | Medicaid | TN | |
4083390 | Other | TN | BCBS |
P00183596 | Other | TN | MEDICARE RAILROAD |
74011982 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 73492 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9398 (Tennessee) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Michael Donohue, CRNA 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 Ph: (931) 528-7877 | Michael Donohue, CRNA 100 W 4th St, Suite 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 |