Wendy B Thomas, CRNA | |
131 Tucker Street, Suite 5 - Professional Anesthesia Associates, Jackson, TN 38301-4055 | |
(731) 541-5000 | |
(731) 541-7075 |
Full Name | Wendy B Thomas |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 131 Tucker Street, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962498626 | NPI | - | NPPES |
3624940 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN96821 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN10965 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Wendy B Thomas, CRNA 131 Tucker Street, Suite 5 - Professional Anesthesia Associates, Jackson, TN 38301-4055 Ph: (888) 358-0933 | Wendy B Thomas, CRNA 131 Tucker Street, Suite 5 - Professional Anesthesia Associates, Jackson, TN 38301-4055 Ph: (731) 541-5000 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114 |