| Enrique Molina, CRNA | |
|
1265 E College St, Pulaski, TN 38478-4541 | |
| (615) 620-2320 | |
| (615) 620-2323 |
| Full Name | Enrique Molina |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 1265 E College St, Pulaski, 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 |
|---|---|---|---|
| 1497831291 | NPI | - | NPPES |
| 4093506 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN |
| P00308720 | Other | TN | RR MEDICARE |
| 1515279 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN9953 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN102000 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Jay, Inc. | Portland, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Nursing Anesthesia Inc | 9436459278 | 37 |
| Mission Nursing Anesthesia Inc | 9436459278 | 37 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20180430002438 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Molina, CRNA Po Box 440401, Nashville, TN 37244-0401 Ph: (615) 620-2320 | Enrique Molina, CRNA 1265 E College St, Pulaski, TN 38478-4541 Ph: (615) 620-2320 |
Joseph E Hemmen Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E College St, Pulaski, TN 38478 Phone: 615-620-2320 Fax: 615-620-2323 |