Mr Edward J Daigle, CRNA | |
1801 Washington Park Lane, Suite 600, Tullahoma, TN 37388 | |
(931) 454-9810 | |
(931) 393-1020 |
Full Name | Mr Edward J Daigle |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1801 Washington Park Lane, Tullahoma, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962445783 | NPI | - | NPPES |
4026923 | Other | TN | BLUECROSS |
3609026 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 10633 (Tennessee) | Primary |
Entity Name | Amsurg Chattanooga Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841586922 PECOS PAC ID: 8921278821 Enrollment ID: O20110901000522 |
Entity Name | Quiescence Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942671805 PECOS PAC ID: 2567750359 Enrollment ID: O20170731001478 |
Entity Name | Prominence Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376180083 PECOS PAC ID: 5890121719 Enrollment ID: O20200224000031 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward J Daigle, CRNA Po Box 1087, Tullahoma, TN 37388-1087 Ph: (931) 454-9810 | Mr Edward J Daigle, CRNA 1801 Washington Park Lane, Suite 600, Tullahoma, TN 37388 Ph: (931) 454-9810 |
Shawn P. Ross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-393-7933 | |
Sharon Renee Cicero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 106 W Blackwell St, Tullahoma, TN 37388 Phone: 931-454-9810 Fax: 931-393-1020 | |
Mrs. Philicia Ann Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 828-398-5244 Fax: 828-360-3080 |