| Madelaine Pruitt, CRNA | |
|
1 Medical Center Blvd, Cookeville, TN 38501-4294 | |
| (601) 826-2386 | |
| Not Available |
| Full Name | Madelaine Pruitt |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1 Medical Center Blvd, 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 |
|---|---|---|---|
| 1043971633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4028012 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 30974 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trh Anesthesia Llc | 2062866395 | 14 |
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Entity Name | Commonwealth Health Corporation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
| Entity Name | Trh Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366120370 PECOS PAC ID: 2062866395 Enrollment ID: O20230920003158 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelaine Pruitt, CRNA 135 N Franklin Ave, Cookeville, TN 38501-2319 Ph: (601) 826-2386 | Madelaine Pruitt, CRNA 1 Medical Center Blvd, Cookeville, TN 38501-4294 Ph: (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 |