| Mitchell Joseph Groome, | |
|
7691 Poplar Ave, Germantown, TN 38138-3904 | |
| (901) 516-6000 | |
| Not Available |
| Full Name | Mitchell Joseph Groome |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 7691 Poplar Ave, Germantown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205681327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 148849 (Tennessee) | Secondary |
| 163W00000X | Registered Nurse | 238751 (Tennessee) | Primary |
| Entity Name | Resource Anesthesiology Associates Of Tn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240109002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Joseph Groome, 6268 Skyview Cir, Bartlett, TN 38135-2434 Ph: (901) 461-5404 | Mitchell Joseph Groome, 7691 Poplar Ave, Germantown, TN 38138-3904 Ph: (901) 516-6000 |
Micah Best, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-682-9522 | |
Mrs. Shannon N Noblin, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Melanie Benton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2129 West Street Suite 224, Germantown, TN 38138 Phone: 866-563-7772 Fax: 901-255-0758 | |
Mrs. Teresa Murphree, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 7460 Wolf River Blvd, Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-761-4002 | |
Mr. Jesse Newton Lee, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Germantown, TN 38138 Phone: 901-818-2160 | |
Mr. Michael Elvis Davison, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Eleanor Lacsa San Pedro, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6386 |