| Mark Allen Kelley, CRNA | |
|
1818 Albion St, Nashville, TN 37208-2918 | |
| (615) 341-4000 | |
| Not Available |
| Full Name | Mark Allen Kelley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1818 Albion St, Nashville, 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 |
|---|---|---|---|
| 1013313154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 19539 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | 174012 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metro Nashville General Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweet Dreams Anesthesia Inc | 0042477705 | 64 |
| Epix Anesthesia Of Tennessee Pllc | 7113292178 | 8 |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124455969 PECOS PAC ID: 6204081292 Enrollment ID: O20131127000891 |
| Entity Name | Epix Anesthesia Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720520455 PECOS PAC ID: 7113292178 Enrollment ID: O20171002002759 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Allen Kelley, CRNA 411 Gambrel St, Franklin, TN 37067-8687 Ph: (615) 480-3826 | Mark Allen Kelley, CRNA 1818 Albion St, Nashville, TN 37208-2918 Ph: (615) 341-4000 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Evan Russell Parkinson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |