Michael J Fahey, CRNA | |
105 N Meadows Dr, Athens, TN 37303-4172 | |
(423) 649-3300 | |
Not Available |
Full Name | Michael J Fahey |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 105 N Meadows Dr, Athens, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669426029 | NPI | - | NPPES |
4103253 | Other | TN | BLUE CROSS BLUE SHIELD |
P00216480 | Other | TN | RR MEDICARE |
3902466 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN9546 (Tennessee) | Primary |
Entity Name | Tennessee Valley Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447202452 PECOS PAC ID: 1052350519 Enrollment ID: O20050426000139 |
Mailing Address | Practice Location Address |
---|---|
Michael J Fahey, CRNA Po Box 220, Athens, TN 37371-0220 Ph: (423) 899-9080 | Michael J Fahey, CRNA 105 N Meadows Dr, Athens, TN 37303-4172 Ph: (423) 649-3300 |
John C Asbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Chris A Fugunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Russell E Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Douglas R Barrow, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 105 N Meadows Dr, Athens, TN 37303 Phone: 423-899-9080 | |
Kurtis Lansdell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 |