| Michael Martindale, MD | |
|
616 W Forest Ave, Jackson, TN 38301-3902 | |
| (731) 422-0435 | |
| (731) 422-0478 |
| Full Name | Michael Martindale |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 616 W Forest Ave, 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 |
|---|---|---|---|
| 1740258540 | NPI | - | NPPES |
| 3067754 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD20281 (Tennessee) | Primary |
| 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 | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Martindale, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Michael Martindale, MD 616 W Forest Ave, Jackson, TN 38301-3902 Ph: (731) 422-0435 |
Dr. Jerry W. Jones Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 139 Windemere Cir, Jackson, TN 38305 Phone: 731-616-8540 Fax: 731-661-6282 | |
Charles M Freeman, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 131 Tucker Street, Suite 5, Professional Anesthesia Associates, Jackson, TN 38301 Phone: 931-388-6404 Fax: 931-388-7119 | |
Christopher Liberto, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 131 Tucker St, Professional Anesthesia Associates, Jackson, TN 38301 Phone: 931-388-6404 Fax: 931-388-7119 | |
Dr. David Claybourne Garrett Iv, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
James C Freeman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Gary T Garrett, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 131 Tucker St, Ste5 Professional Anesthesia Associates, Jackson, TN 38301 Phone: 931-388-6404 Fax: 931-388-7119 | |
Sarah Y Pucek, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 131 Tucker St, Suite 5, Jackson, TN 38301 Phone: 931-388-6404 |