Stevan D Bonom, CRNA | |
1924 Alcoa Hwy, U109, Knoxville, TN 37920-1511 | |
(865) 305-9220 | |
Not Available |
Full Name | Stevan D Bonom |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1924 Alcoa Hwy, Knoxville, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497728752 | NPI | - | NPPES |
054155 | Other | TN | CRNA LICENSE |
RN128520 | Other | TN | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN128520 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 054155 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Milligan Surgical Clinic | 7911190707 | 4 |
Entity Name | Milligan Surgical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265746978 PECOS PAC ID: 7911190707 Enrollment ID: O20101025001384 |
Mailing Address | Practice Location Address |
---|---|
Stevan D Bonom, CRNA 341 Trane Dr, Knoxville, TN 37919-6053 Ph: (865) 588-0880 | Stevan D Bonom, CRNA 1924 Alcoa Hwy, U109, Knoxville, TN 37920-1511 Ph: (865) 305-9220 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |