| Clay Patrick, | |
|
7691 Poplar Ave, Germantown, TN 38138-3904 | |
| (901) 516-6000 | |
| Not Available |
| Full Name | Clay Patrick |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7691 Poplar Ave, Germantown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902647191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 148781 (Tennessee) | Primary |
| Entity Name | Resource Anesthesiology Associates Of Tn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240111002755 |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Patrick, 3915 Deerhurst St, Springdale, AR 72764-6695 Ph: (870) 405-1202 | Clay Patrick, 7691 Poplar Ave, Germantown, TN 38138-3904 Ph: (901) 516-6000 |
Barbara Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kilbirnie Dr, Germantown, TN 38139 Phone: 901-751-2067 | |
Ashley Barker Sugg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Ms. Ashley White Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2183 Fax: 901-682-9522 | |
Samantha Ruth Simmons Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Jerica S Mason, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Mitchell Joseph Groome, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6000 | |
Mr. Toney L Banks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 |