Mr Edward Molton Sanders Ii, RN | |
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
(901) 818-2183 | |
(901) 682-9522 |
Full Name | Mr Edward Molton Sanders Ii |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1900 Exeter Rd, Germantown, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629219720 | NPI | - | NPPES |
1514315 | Medicaid | TN | |
1629219720 | Other | CHAMPUS/HUMANA TRICARE | |
4223156 | Other | TN | BLUE CROSS |
00079839 | Medicaid | MS | |
P00800809 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN 14189 (Tennessee) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | RN0000131203 (Tennessee) | Secondary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
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Mr Edward Molton Sanders Ii, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2183 | Mr Edward Molton Sanders Ii, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2183 |
Barbara Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kilbirnie Dr, Germantown, TN 38139 Phone: 901-751-2067 | |
Ms. Ashley White Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2183 Fax: 901-682-9522 | |
Mitchell Joseph Groome, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6000 | |
Colton Hunter Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Germantown, TN 38138 Phone: 901-818-2160 | |
Ms. Jeanne Delcambre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Laura Elizabeth Haumesser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2169 Fax: 901-682-9443 | |
Sarah Elizabeth Hodge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1310 Wolf Park Dr, Germantown, TN 38138 Phone: 901-624-5151 |