| Michael J Fahey, CRNA | |
|
105 N Meadows Dr, Athens, TN 37303-4172 | |
| (423) 649-3300 | |
| Not Available |
| Full Name | Michael J Fahey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 105 N Meadows Dr, Athens, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669426029 | NPI | - | NPPES |
| 4103253 | Other | TN | BLUE CROSS BLUE SHIELD |
| P00216480 | Other | TN | RR MEDICARE |
| 3902466 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN9546 (Tennessee) | Primary |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
| Entity Name | Tennessee Valley Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447202452 PECOS PAC ID: 1052350519 Enrollment ID: O20050426000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Fahey, CRNA Po Box 220, Athens, TN 37371-0220 Ph: (423) 899-9080 | Michael J Fahey, CRNA 105 N Meadows Dr, Athens, TN 37303-4172 Ph: (423) 649-3300 |
John C Asbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Chris A Fugunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Russell E Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Douglas R Barrow, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 105 N Meadows Dr, Athens, TN 37303 Phone: 423-899-9080 | |
Kurtis Lansdell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 |