Mr Kevin Smith, | |
1900 Exeter Rd, Germantown, TN 38138 | |
(901) 818-2160 | |
Not Available |
Full Name | Mr Kevin Smith |
---|---|
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 |
---|---|---|---|
1992062020 | NPI | - | NPPES |
1992062020 | Other | TN | CHAMPUS/TRICARE |
192893001 | Medicaid | AR | |
09552701 | Medicaid | MS | |
1528772 | Medicaid | TN | |
4327295 | Other | TN | BCBST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN0000158867 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN 16753 (Tennessee) | Primary |
Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Smith, 6910 7th Rd, Bartlett, TN 38135-2568 Ph: (901) 386-8539 | Mr Kevin Smith, 1900 Exeter Rd, Germantown, TN 38138 Ph: (901) 818-2160 |
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 |