| Mary Ann Cope, CRNA | |
|
907 E Lamar Alexander Pkwy, Maryville, TN 37804 | |
| (865) 983-7211 | |
| (865) 450-9374 |
| Full Name | Mary Ann Cope |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 907 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306877931 | NPI | - | NPPES |
| 3629678 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN10909 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN143526 (Tennessee) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Cope, CRNA Po Box 24776, Chattanooga, TN 37422-4776 Ph: (877) 288-1799 | Mary Ann Cope, CRNA 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Ph: (865) 983-7211 |
Melissa Carol Blackwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Donna Marie Mcmahan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Crystal E Aycocke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 | |
Dr. Chad Andrew Mcclure, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 | |
Janet Hudson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Michelle D Herschelman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-983-8043 | |
Kelsey Keller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 |