| Alicia R Blankendaal, CRNA | |
|
110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | |
| (615) 327-4304 | |
| (615) 327-7940 |
| Full Name | Alicia R Blankendaal |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 110 29th Ave N, Nashville, 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 |
|---|---|---|---|
| 1033449210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 14553 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Entity Name | Northstar Anesthesia Of Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210104001507 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia R Blankendaal, CRNA 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 Ph: (615) 327-4304 | Alicia R Blankendaal, CRNA 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 Ph: (615) 327-4304 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Evan Russell Parkinson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |