| Dustin Fulton, CRNA | |
|
1265 Union Ave, Memphis, TN 38104-3415 | |
| (901) 725-5846 | |
| Not Available |
| Full Name | Dustin Fulton |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1265 Union Ave, Memphis, 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 |
|---|---|---|---|
| 1700283736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 171165 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 19665 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Anesthesia Of The Rocky Mountains, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245547850 PECOS PAC ID: 7517155880 Enrollment ID: O20101230000865 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Entity Name | Lifelinc Anesthesia Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558863415 PECOS PAC ID: 7911260534 Enrollment ID: O20180413000065 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Fulton, CRNA 6060 Primacy Pkwy, Suite 241, Memphis, TN 38119-5745 Ph: (901) 725-5846 | Dustin Fulton, CRNA 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 725-5846 |
Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872 | |
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846 | |
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 | |
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454 | |
Miss Christina Clare Delaughter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Humphreys Center Dr Ste 101, Memphis, TN 38120 Phone: 901-747-3233 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 |