| Michael Stephan Stovall, CRNA | |
|
315 Oak St, Livingston, TN 38570-1728 | |
| (931) 823-5611 | |
| (615) 620-2320 |
| Full Name | Michael Stephan Stovall |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 315 Oak St, Livingston, 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 |
|---|---|---|---|
| 1205880440 | NPI | - | NPPES |
| 4179675 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN11058 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN131795 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas River Park Hospital | Mc minnville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweet Dreams Anesthesia Inc | 0042477705 | 64 |
| Entity Name | Aero Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336221928 PECOS PAC ID: 3577552553 Enrollment ID: O20040506001354 |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Cornerstone Anesthesia Group,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881006658 PECOS PAC ID: 0840595237 Enrollment ID: O20160223001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Stephan Stovall, CRNA Po Box 440246, Nashville, TN 37244-0246 Ph: (615) 620-2320 | Michael Stephan Stovall, CRNA 315 Oak St, Livingston, TN 38570-1728 Ph: (931) 823-5611 |
Jason H Levoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 315 Oak St, Livingston, TN 38570 Phone: 931-823-5611 | |
Scott E Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 315 Oak St, Livingston, TN 38570 Phone: 931-823-5611 | |
Stephen Michael Harris, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 315 Oak St, Livingston, TN 38570 Phone: 931-823-5611 |