| Shelly Lauren Hereth, CRNA | |
|
975 E 3rd St, Suite C-235, Chattanooga, TN 37403-2147 | |
| (423) 602-8400 | |
| (423) 602-8401 |
| Full Name | Shelly Lauren Hereth |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 975 E 3rd St, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437502085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN200088 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN21838 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Medical Center | Dalton, GA | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
| North Georgia Anesthesia Services Pc | 2769800515 | 39 |
| Entity Name | Anesthesiology Consultants Exchange, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670218 PECOS PAC ID: 2365434297 Enrollment ID: O20040331001631 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Lauren Hereth, CRNA 730 Chestnut St, Chattanooga, TN 37402-1729 Ph: (423) 645-0902 | Shelly Lauren Hereth, CRNA 975 E 3rd St, Suite C-235, Chattanooga, TN 37403-2147 Ph: (423) 602-8400 |
Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040 | |
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 | |
Eun Hyea Godbold, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525 | |
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400 | |
Mrs. Julie D Baggett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 |