| Matthew Townsend Mustard, CRNA | |
|
1901 Clinch Ave, Knoxville, TN 37916-2307 | |
| (865) 331-1111 | |
| Not Available |
| Full Name | Matthew Townsend Mustard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1901 Clinch Ave, Knoxville, 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 |
|---|---|---|---|
| 1023995982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 39778 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | 231532 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Anesthesia Group Pc | 6901795830 | 231 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Townsend Mustard, CRNA 212 Gwinhurst Rd, Knoxville, TN 37934-4500 Ph: (865) 201-7940 | Matthew Townsend Mustard, CRNA 1901 Clinch Ave, Knoxville, TN 37916-2307 Ph: (865) 331-1111 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 |
Sabrina Ponder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4614 Nathan Dr, Knoxville, TN 37938 Phone: 865-254-9174 |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 |
Christian Bayless, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-305-9000 |
Michelle L Palmer, 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 |
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 |