| Mr Allen A Nelson, CRNA | |
|
809 University Blvd E, Tuscaloosa, AL 35401-2029 | |
| (205) 759-7352 | |
| (205) 759-6397 |
| Full Name | Mr Allen A Nelson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 809 University Blvd E, Tuscaloosa, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225061153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-065931 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-065931 (Alabama) | Primary |
| Entity Name | Baptist Memorial Hospital - Golden Triangle Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609830173 PECOS PAC ID: 1456244623 Enrollment ID: O20101116000167 |
| Entity Name | Gac Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386112639 PECOS PAC ID: 4587902663 Enrollment ID: O20190214002975 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Allen A Nelson, CRNA 14578 Hatter Rd, Gordo, AL 35466-9076 Ph: (205) 333-6007 | Mr Allen A Nelson, CRNA 809 University Blvd E, Tuscaloosa, AL 35401-2029 Ph: (205) 759-7352 |
Amy Brister, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 256-683-7496 | |
Tonya Via, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7755 | |
Mr. Joseph Lee Stork Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7111 | |
Mr. Arvil Boler Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 809 University Blvd E, -, Tuscaloosa, AL 35401 Phone: 205-759-7111 | |
Soon Ja Stanley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7352 Fax: 205-759-6397 | |
Melissa Newell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152 | |
Lisa J. Pennington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-5500 Fax: 205-502-5152 |