| Gary A Blinn, CRNA | |
| 
					975 E Third St, Chattanooga, TN 37403-2147  | |
| (423) 778-7806 | |
| (423) 778-2360 | 
| Full Name | Gary A Blinn | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 975 E Third St, Chattanooga, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891861704 | NPI | - | NPPES | 
| 000580566A | Medicaid | GA | |
| 3604262 | Medicaid | TN | |
| 430030816 | Other | TN | RAILROAD MEDICARE | 
| 8052354 | Medicaid | NC | |
| N366445 | Other | GA | WELLCARE (GA MEDICAID) | 
| 009709980 | Medicaid | AL | |
| 3049757 | Other | TN | BLUE CROSS BLUE SHIELD TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN46237 (Tennessee) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | APN08976 (Tennessee) | Primary | 
| Entity Name | Anesthesiology Consultants Exchange, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184670218 PECOS PAC ID: 2365434297 Enrollment ID: O20040331001631  | 
| Entity Name | Prime Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649745225 PECOS PAC ID: 3375881279 Enrollment ID: O20190220000384  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gary A Blinn, CRNA Po Box 11225, Chattanooga, TN 37401-2225 Ph: (423) 892-5602  | Gary A Blinn, CRNA 975 E Third St, Chattanooga, TN 37403-2147 Ph: (423) 778-7806  | 
Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401  | |
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401  | |
Mr. Glen Roland Horne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-206-5040  | |
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355  | |
Eun Hyea Godbold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525  | |
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400  | |
Susan L Battles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E Third St, Chattanooga, TN 37403 Phone: 423-778-7608 Fax: 423-778-2360  |