Victoria Lauren Vanderwall, RN | |
2525 Desales Ave, Chattanooga, TN 37404-1161 | |
(423) 290-8227 | |
Not Available |
Full Name | Victoria Lauren Vanderwall |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 2525 Desales Ave, 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 |
---|---|---|---|
1831770684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 214818 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 30423 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
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 |
Mailing Address | Practice Location Address |
---|---|
Victoria Lauren Vanderwall, RN 164 Maple St, Dayton, TN 37321-6080 Ph: (423) 290-8227 | Victoria Lauren Vanderwall, RN 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: (423) 290-8227 |
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 |