| Brenn Mitchell Johnson, CRNA | |
|
161 Mount Pelia Rd, Martin, TN 38237-3811 | |
| (731) 588-0001 | |
| (731) 587-2775 |
| Full Name | Brenn Mitchell Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 161 Mount Pelia Rd, Martin, 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 |
|---|---|---|---|
| 1396166427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN173849 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| West Tennessee Bone And Joint Clinic Pc | 7517940182 | 58 |
| Entity Name | Martin Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326107327 PECOS PAC ID: 1951384619 Enrollment ID: O20040611001365 |
| Entity Name | West Tennessee Bone And Joint Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831312461 PECOS PAC ID: 7517940182 Enrollment ID: O20040612000702 |
| 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 |
|---|---|
| Brenn Mitchell Johnson, CRNA 410 N Cedar Bluff Rd, Ste 300, Knoxville, TN 37923-3632 Ph: (865) 342-8900 | Brenn Mitchell Johnson, CRNA 161 Mount Pelia Rd, Martin, TN 38237-3811 Ph: (731) 588-0001 |
Amelia R Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Joseph Michael Morel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Angela S Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Timothy Glenn Rigsbee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 | |
Christopher Paul Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 161 Mount Pelia Rd, Martin, TN 38237 Phone: 731-588-0001 Fax: 731-587-2775 |