Mr Glennis Darrell Lawson Jr, MSN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lafollette, Tennessee. His current practice location is
919 E. Central Avenue, Lafollette, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 777-0909.
Mr Glennis Darrell Lawson Jr is licensed to practice in Tennessee (license number 128612) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598836900.
Provider's Profile
| Full Name | Mr Glennis Darrell Lawson Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 919 E. Central Avenue, Lafollette, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Glennis Darrell Lawson Jr attended and graduated from in
NPI Data:
- NPI Number: 1598836900
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 03/22/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Glennis Darrell Lawson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598836900 | NPI | - | NPPES |
| 1506017 | Medicaid | TN | |
| 74010061 | Medicaid | KY | |
| 4178543 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 74010661 | Medicaid | KY | |
| P00632153 | Other | | RAILROAD MEDICARE |
| 4110437 | Other | TN | IND BC PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN11154 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 128612 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11154 (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glennis Darrell Lawson Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Glennis Darrell Lawson Jr, MSN-CRNA
12752 Kingston Pike, Ste E202,
Knoxville, TN 37934-0948
Ph: (865) 777-0909 | Mr Glennis Darrell Lawson Jr, MSN-CRNA
919 E. Central Avenue,
Lafollette, TN 37766-2055
Ph: (865) 777-0909 |
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