| Bradley Jacob Blair, BSN, RN, CRNA | |
|
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
| (865) 380-9070 | |
| (865) 380-9093 |
| Full Name | Bradley Jacob Blair |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 907 E Lamar Alexander Pkwy, Maryville, 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 |
|---|---|---|---|
| 1437528148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 180244 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| American Anesthesiology Of Tennessee Pc | 9931001922 | 282 |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| 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 |
|---|---|
| Bradley Jacob Blair, BSN, RN, CRNA Po Box 24776, Chattanooga, TN 37422-4776 Ph: (877) 288-1799 | Bradley Jacob Blair, BSN, RN, CRNA 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 380-9070 |
Melissa Carol Blackwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Donna Marie Mcmahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Crystal E Aycocke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 | |
Dr. Chad Andrew Mcclure, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 | |
Janet Hudson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Michelle D Herschelman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-983-8043 | |
Kelsey Keller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 |