| Elizabeth Ann Couillard, CRNA | |
|
2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311-3894 | |
| (423) 472-6514 | |
| (423) 476-2062 |
| Full Name | Elizabeth Ann Couillard |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2080 Chambliss Ave Nw, Cleveland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366420481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN 9275 (Tennessee) | Primary |
| Entity Name | Novamed Surgery Center Of Chattanooga, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659658375 PECOS PAC ID: 3779472253 Enrollment ID: O20120105000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Couillard, CRNA Po Box 3090, Cleveland, TN 37320-3090 Ph: (423) 472-6513 | Elizabeth Ann Couillard, CRNA 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311-3894 Ph: (423) 472-6514 |
Melissa Jean Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6513 Fax: 423-476-2062 | |
Steve Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Westside Dr Nw, Cleveland, TN 37312 Phone: 423-339-4100 | |
Edgar Scott Monterde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Kelly Ann Braden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Lenn Kevin Otto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Jason Pierce Chancey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2080 Chambliss Ave, Suite 1, Cleveland, TN 37311 Phone: 423-472-6513 Fax: 423-476-2062 |