| Kristina K Widdifield, CRNA | |
|
100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | |
| (931) 528-7877 | |
| (931) 526-3261 |
| Full Name | Kristina K Widdifield |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 100 W 4th St, Cookeville, 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 |
|---|---|---|---|
| 1932445384 | NPI | - | NPPES |
| 1530800 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 165246 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Anesthesia Group, Pllc | 0840595237 | 5 |
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
| Entity Name | Genesis Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316236367 PECOS PAC ID: 2264616101 Enrollment ID: O20110418000529 |
| 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 | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Entity Name | Cornerstone Anesthesia Group,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881006658 PECOS PAC ID: 0840595237 Enrollment ID: O20160223001181 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina K Widdifield, CRNA 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 Ph: (931) 528-7877 | Kristina K Widdifield, CRNA 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 Ph: (931) 528-7877 |
Madelaine Pruitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 601-826-2386 | |
Mr. Lawrence A Epps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Michael Brandon Hardison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
James F Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Jonathan Daniel Shepard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 931-528-2541 | |
Mr. Mark A Thomason, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St, Suite 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 | |
Joseph Patrick Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 W 4th St Ste 310, Cookeville, TN 38501 Phone: 931-528-7877 Fax: 931-526-3261 |