| Lucas John Moersdorf, CRNA | |
|
990 Oak Ridge Turnpike, Mmc Anesthesia Pc, Oak Ridge, TN 37830-6976 | |
| (919) 858-6303 | |
| (770) 237-1124 |
| Full Name | Lucas John Moersdorf |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 990 Oak Ridge Turnpike, Oak Ridge, 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 |
|---|---|---|---|
| 1912083379 | NPI | - | NPPES |
| 136698 | Other | TN | RN LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 136698 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 12486 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Methodist Medical Center Of Oak Ridge | Oak ridge, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resource Anesthesia, P.c. | 1254228141 | 67 |
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Entity Name | Priority Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689816365 PECOS PAC ID: 0446300073 Enrollment ID: O20090602000588 |
| 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 | Pcet Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1225387640 PECOS PAC ID: 0042461352 Enrollment ID: O20121114000580 |
| Entity Name | Knoxville Gastroenterology Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356717227 PECOS PAC ID: 8325357155 Enrollment ID: O20151019001298 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| 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 |
|---|---|
| Lucas John Moersdorf, CRNA Po Box 5059, Oak Ridge, TN 37831-5059 Ph: (919) 858-6303 | Lucas John Moersdorf, CRNA 990 Oak Ridge Turnpike, Mmc Anesthesia Pc, Oak Ridge, TN 37830-6976 Ph: (919) 858-6303 |
Harber Ingle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 800-611-6713 | |
Kenneth L Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 | |
Lacey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-835-3560 | |
Doris Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 | |
Micah Shea Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 931-858-6303 Fax: 931-858-6305 | |
Roger B Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 800-611-6713 Fax: 770-237-1124 | |
Christina Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124 |