| Mr Carl William Sisco, CRNA | |
|
620 Skyline Dr, Jackson, TN 38301-3923 | |
| (731) 541-7070 | |
| (731) 541-7075 |
| Full Name | Mr Carl William Sisco |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 620 Skyline Dr, Jackson, 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 |
|---|---|---|---|
| 1811967961 | NPI | - | NPPES |
| 3630440 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 134913 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry County Medical Center | Paris, TN | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Healthcare Henry County | 0941731483 | 18 |
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Entity Name | Henry County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073765475 PECOS PAC ID: 6002898665 Enrollment ID: O20081029000244 |
| Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Entity Name | Anesthesia Health Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336528926 PECOS PAC ID: 4688977218 Enrollment ID: O20170510001101 |
| Entity Name | West Tennessee Healthcare Henry County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316393176 PECOS PAC ID: 0941731483 Enrollment ID: O20250228002861 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carl William Sisco, CRNA 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-7070 | Mr Carl William Sisco, CRNA 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-7070 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114 |