| Jacob C Carroll, CRNA | |
|
935 Wayne Rd, Savannah, TN 38372 | |
| (731) 926-8000 | |
| Not Available |
| Full Name | Jacob C Carroll |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 935 Wayne Rd, Savannah, 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 |
|---|---|---|---|
| 1982149621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 22130 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20091231000232 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob C Carroll, CRNA 183 Union Ave, Jackson, TN 38301-6036 Ph: (731) 926-0431 | Jacob C Carroll, CRNA 935 Wayne Rd, Savannah, TN 38372 Ph: (731) 926-8000 |
Jon F Stensloff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 49 Mcgrew Ln, Savannah, TN 38372 Phone: 901-833-4122 | |
Christina Renae Zavatchen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2006 Wayne Rd, Savannah, TN 38372 Phone: 731-926-8000 | |
Terrell Lee Tedford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 935 Wayne Rd, Savannah, TN 38372 Phone: 731-632-5577 | |
Lori Stensloff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 49 Mcgrew Ln, Savannah, TN 38372 Phone: 901-833-4122 | |
Mr. Stephen Ray Koster, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 935 Wayne Rd, Savannah, TN 38372 Phone: 731-926-8179 |