| Kenneth W Hutchinson, CRNA | |
|
17c Brentshire Square, Jackson, TN 38305-2273 | |
| (731) 664-1717 | |
| (731) 664-7114 |
| Full Name | Kenneth W Hutchinson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 47 Years |
| Location | 17c Brentshire Square, Jackson, 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 |
|---|---|---|---|
| 1093707051 | NPI | - | NPPES |
| 3602344 | Medicaid | TN | |
| Q008949 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000008921 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN0000042871 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Clinic Pa | 2668376872 | 189 |
| Entity Name | Jackson Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
| Entity Name | West Tennessee Anesthesia, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427137280 PECOS PAC ID: 8921078312 Enrollment ID: O20040731000339 |
| Entity Name | Lexington Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083809669 PECOS PAC ID: 7719896414 Enrollment ID: O20090324000611 |
| Entity Name | Shamrock Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033878277 PECOS PAC ID: 8325422082 Enrollment ID: O20220829003239 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W Hutchinson, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717 | Kenneth W Hutchinson, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 |