| Kathleen B Weiman, CRNA | |
|
825 Ridge Lake Blvd, Memphis, TN 38120-9411 | |
| (901) 685-6150 | |
| (901) 685-6454 |
| Full Name | Kathleen B Weiman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 35 Years |
| Location | 825 Ridge Lake Blvd, Memphis, 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 |
|---|---|---|---|
| 1003943945 | NPI | - | NPPES |
| 430065684 | Other | TN | RAILROAD MEDICARE |
| 4072551 | Other | TN | BLUECROSS BLUESHIELD |
| 621839766 | Other | TN | RIDGELAKE TAX ID# |
| 3622391 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN0000094606 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midsouth Speciality Anesthesia Services Llc | 6103293667 | 29 |
| Midsouth Speciality Anesthesia Services Llc | 6103293667 | 29 |
| Entity Name | Phillip R. Bowden, M.d.,p.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932216389 PECOS PAC ID: 7315847118 Enrollment ID: O20040109000254 |
| Entity Name | Anesthesia Health Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20170510001101 |
| Entity Name | Midsouth Speciality Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245956440 PECOS PAC ID: 6103293667 Enrollment ID: O20221121000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen B Weiman, CRNA 825 Ridge Lake Blvd, Memphis, TN 38120-9411 Ph: (901) 685-6150 | Kathleen B Weiman, CRNA 825 Ridge Lake Blvd, Memphis, TN 38120-9411 Ph: (901) 685-6150 |
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846 | |
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 | |
Miss Christina Clare Delaughter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Humphreys Center Dr Ste 101, Memphis, TN 38120 Phone: 901-747-3233 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 | |
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 |