Mary Sandra Lathrem, CRNA - Medicare Nurse Anesthetist, Certified Registered in Knoxville, TN

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Mary Sandra Lathrem, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Knoxville, Tennessee. Her current practice location is 256 Fort Sanders West Blvd, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (859) 699-9534.

Mary Sandra Lathrem is licensed to practice in Tennessee (license number 38874) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306248604.

Contact Information

Mary Sandra Lathrem, CRNA
256 Fort Sanders West Blvd,
Knoxville, TN 37922-3355
(859) 699-9534
Not Available

Map and Direction




Provider's Profile

Full NameMary Sandra Lathrem
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location256 Fort Sanders West Blvd, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306248604
  • Provider Enumeration Date: 09/18/2014
  • Last Update Date: 06/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496977464
  • Enrollment ID: I20170417001773

Medical Identifiers

Medical identifiers for Mary Sandra Lathrem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306248604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3008752 (Kentucky)Secondary
367500000XNurse Anesthetist, Certified Registered APRN9284688 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 38874 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Sandra Lathrem allows following entities to bill medicare on her behalf.
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameOrlando Anesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184661696
PECOS PAC ID: 6204729056
Enrollment ID: O20040205000237
Entity NameOrlando Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044
Entity NameAms Anesthetist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770834426
PECOS PAC ID: 8325298458
Enrollment ID: O20121025000224

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Sandra Lathrem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Sandra Lathrem, CRNA
940 Bob Kirby Rd,
Knoxville, TN 37923-1910

Ph: (859) 699-9534		Mary Sandra Lathrem, CRNA
256 Fort Sanders West Blvd,
Knoxville, TN 37922-3355

Ph: (859) 699-9534

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Knoxville, TN

Andrea Kathryn Kottmeier,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909
Phone: 865-588-5121    
James Ryan Wallace, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 1901 Clinch Ave, Knoxville, TN 37916
Phone: 865-342-9098    
Michelle L Palmer, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787
Alejandro Conde,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920
Phone: 865-305-9000    
Elizabeth Stevens, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787
Matthew Townsend Mustard, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Clinch Ave, Knoxville, TN 37916
Phone: 865-331-1111    
Gregory William Hagopian, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.