| Blakley T Stone, CRNA | |
|
10415 Wallace Alley St, Kingsport, TN 37663-3936 | |
| (423) 390-0451 | |
| (423) 844-2688 |
| Full Name | Blakley T Stone |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 10415 Wallace Alley St, Kingsport, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639620941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001237944 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 22265 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Anesthesia Pc | 8921044744 | 198 |
| Entity Name | Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770578270 PECOS PAC ID: 4789781048 Enrollment ID: O20070924000124 |
| Entity Name | Paragon Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Entity Name | Advanced Anesthesia Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164772109 PECOS PAC ID: 7315200664 Enrollment ID: O20180419000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Blakley T Stone, CRNA 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220 | Blakley T Stone, CRNA 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451 |
Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121 | |
Geena Sollecito, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451 | |
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122 | |
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144 | |
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711 | |
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 |