| James Michael Wilson, CRNA | |
|
501 20th St, Suite 606, Knoxville, TN 37916-1809 | |
| (865) 546-8040 | |
| (865) 541-2787 |
| Full Name | James Michael Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 501 20th St, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588600654 | NPI | - | NPPES |
| P0220909 | Other | TN | MEDICARE TRAVELERS |
| 3634042 | Medicaid | TN | |
| 4103575 | Other | TN | BLUE CROSS |
| 4103575 | Other | TN | BLUECARE |
| 100047161 | Other | TN | PHP TENNCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11179 (Tennessee) | Primary |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Wilson, CRNA 501 20th St, Suite 606, Knoxville, TN 37916-1809 Ph: (865) 546-8040 | James Michael Wilson, CRNA 501 20th St, Suite 606, Knoxville, TN 37916-1809 Ph: (865) 546-8040 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Alejandro Conde, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Matthew Townsend Mustard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-331-1111 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |