| Conway Ella, CRNA | |
|
412 Devonia St, Harriman, TN 37748-2009 | |
| (423) 882-1323 | |
| Not Available |
| Full Name | Conway Ella |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 412 Devonia St, Harriman, 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 |
|---|---|---|---|
| 1487607537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1108988/4824A (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Priority Anesthesia, Llc | 0446300073 | 14 |
| Priority Anesthesia, Llc | 0446300073 | 14 |
| Entity Name | Foothills Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285873380 PECOS PAC ID: 9335296466 Enrollment ID: O20090407000500 |
| Entity Name | Priority Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689816365 PECOS PAC ID: 0446300073 Enrollment ID: O20090602000588 |
| Entity Name | Uap Chattanooga Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679834998 PECOS PAC ID: 5193979169 Enrollment ID: O20130129000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Ella, CRNA Po Box 11446, Knoxville, TN 37939-1446 Ph: (865) 602-2117 | Conway Ella, CRNA 412 Devonia St, Harriman, TN 37748-2009 Ph: (423) 882-1323 |
Patricia L Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-1323 | |
Richard Anthony Wallace, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 865-316-1000 |