| Jennifer L Longo, CRNA | |
|
110 29th Ave N Ste 202, Nashville, TN 37203 | |
| (615) 327-4304 | |
| (615) 327-7940 |
| Full Name | Jennifer L Longo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 110 29th Ave N Ste 202, Nashville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104889146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 110003 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 22973 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ddec Anesthesia, Llc | 4587963491 | 13 |
| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
| Sunrise Anesthesia Llc | 7315323706 | 6 |
| Entity Name | Anesthesia Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Entity Name | Ddec Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629439971 PECOS PAC ID: 4587963491 Enrollment ID: O20160427001818 |
| Entity Name | Sunrise Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164150371 PECOS PAC ID: 7315323706 Enrollment ID: O20221010000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Longo, CRNA 110 29th Ave N Ste 202, Nashville, TN 37203-1448 Ph: (615) 327-4304 | Jennifer L Longo, CRNA 110 29th Ave N Ste 202, Nashville, TN 37203 Ph: (615) 327-4304 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Evan Russell Parkinson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |