| Lenn Kevin Otto, CRNA | |
|
2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311-3894 | |
| (423) 472-6514 | |
| (423) 476-2062 |
| Full Name | Lenn Kevin Otto |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 2080 Chambliss Ave Nw, Cleveland, 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 |
|---|---|---|---|
| 1396726998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN69175 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Anesthesia Services Pc | 3274063425 | 27 |
| Entity Name | Bradley Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972329324 PECOS PAC ID: 3274063425 Enrollment ID: O20250204001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Lenn Kevin Otto, CRNA Po Box 3090, Cleveland, TN 37320-3090 Ph: (423) 472-6513 | Lenn Kevin Otto, CRNA 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311-3894 Ph: (423) 472-6514 |
Melissa Jean Holman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Chambliss Ave, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6513 Fax: 423-476-2062 | |
Steve Hunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2800 Westside Dr Nw, Cleveland, TN 37312 Phone: 423-339-4100 | |
Edgar Scott Monterde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Kelly Ann Braden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Elizabeth Ann Couillard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2080 Chambliss Ave Nw, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 Phone: 423-472-6514 Fax: 423-476-2062 | |
Jason Pierce Chancey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 Chambliss Ave, Suite 1, Cleveland, TN 37311 Phone: 423-472-6513 Fax: 423-476-2062 |