Samuel L Couillard, CRNA | |
550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 | |
(952) 442-9770 | |
Not Available |
Full Name | Samuel L Couillard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 45 Years |
Location | 550 Fort Loudoun Medical Center Dr, Lenoir City, 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 |
---|---|---|---|
1679560429 | NPI | - | NPPES |
4072021 | Other | TN | BLUE CROSS OF TENNESSEE |
3633144 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN43073 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sweetwater Hospital Association | Sweetwater, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sweetwater Hospital Association | 6608773775 | 26 |
Entity Name | Novamed Surgery Center Of Chattanooga, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1801890173 PECOS PAC ID: 3779472253 Enrollment ID: O20040312000613 |
Entity Name | Sweetwater Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629077532 PECOS PAC ID: 6608773775 Enrollment ID: O20040518001141 |
Mailing Address | Practice Location Address |
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Samuel L Couillard, CRNA 233 W 1st St, Waconia, MN 55387-1302 Ph: (952) 442-9770 | Samuel L Couillard, CRNA 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 Ph: (952) 442-9770 |
Holly Connor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1130 Timber Ridge Dr, Lenoir City, TN 37771 Phone: 504-352-7219 | |
Mr. Kenneth Zalewski, MSN- CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772 Phone: 865-777-0909 Fax: 865-777-0910 | |
Mrs. Linda L Vekasi, MSN- CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772 Phone: 865-777-0909 Fax: 865-777-0910 | |
Lisa Coble, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772 Phone: 865-271-6000 | |
Karen Jane Phillips-wilson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 124 Lake Crest Dr, Lenoir City, TN 37772 Phone: 865-986-4405 | |
Mr. Paul Roger Backus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772 Phone: 865-777-0909 Fax: 865-777-0910 |