Mr Tyler Blocker, CRNA | |
620 Skyline Dr, Jackson, TN 38301-3923 | |
(731) 541-5000 | |
Not Available |
Full Name | Mr Tyler Blocker |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 620 Skyline Dr, Jackson, 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 |
---|---|---|---|
1205269305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R879792 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 17863 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Willow Anesthesia Services, Llc | 9234279183 | 27 |
Entity Name | Anesthesia Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711 |
Entity Name | Coleman Cataract And Eye Laser Surgery Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245480482 PECOS PAC ID: 5890863039 Enrollment ID: O20081001000480 |
Entity Name | Willow Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831520691 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001658 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler Blocker, CRNA 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 Ph: () - | Mr Tyler Blocker, CRNA 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114 |