| Chandler Fussell, | |
|
1201 Bishop St, Union City, TN 38261-5403 | |
| (731) 285-2410 | |
| Not Available |
| Full Name | Chandler Fussell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1201 Bishop St, Union City, 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 |
|---|---|---|---|
| 1588419741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 235795 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 36458 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Union City Anesthesia Group | 2062577547 | 6 |
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Kentenn Anesthesia | 4082878079 | 3 |
| Entity Name | Union City Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144429358 PECOS PAC ID: 2062577547 Enrollment ID: O20090217000384 |
| Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
| Entity Name | Kentenn Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346511011 PECOS PAC ID: 4082878079 Enrollment ID: O20120601000288 |
| 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 |
|---|---|
| Chandler Fussell, 486 Revell Rd, Dyersburg, TN 38024-7564 Ph: (731) 446-9616 | Chandler Fussell, 1201 Bishop St, Union City, TN 38261-5403 Ph: (731) 285-2410 |
Donald Wayne Barker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 Bishop St, Union City, TN 38261 Phone: 731-885-0787 Fax: 731-885-0756 | |
James D Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 Bishop St, Union City, TN 38261 Phone: 731-885-0787 Fax: 731-885-0756 |