Neil W Buettner Jr, CRNA | |
1995 Highway 51 S, Covington, TN 38019-3635 | |
(901) 382-1200 | |
(901) 382-8070 |
Full Name | Neil W Buettner Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1995 Highway 51 S, Covington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013935998 | NPI | - | NPPES |
430062458 | Other | RR MEDICARE | |
4288522 | Other | TN | BLUE SHIELD TN |
12857 | Other | TN | TLC |
173758 | Other | TN | BETTER HEALTH |
2041149 | Other | TN | UHC |
3621368 | Medicaid | TN | |
05629011 | Other | MS | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN92955 (Tennessee) | Primary |
Entity Name | Gastroenterology Center Of The Midsouth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753 |
Mailing Address | Practice Location Address |
---|---|
Neil W Buettner Jr, CRNA Po Box 1000 Dept 931, Memphis, TN 38148-0001 Ph: (901) 382-1200 | Neil W Buettner Jr, CRNA 1995 Highway 51 S, Covington, TN 38019-3635 Ph: (901) 382-1200 |
Mr. James Witham Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Highway 51 S, Covington, TN 38019 Phone: 901-475-4550 | |
Peggy Gilliam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 263 Morris Rd, Covington, TN 38019 Phone: 901-382-1200 Fax: 901-382-8070 |