| Mr Donald L Phillips, CRNA | |
| 
					310 25th Ave N, Nashville, TN 37203-1515  | |
| (615) 329-9023 | |
| Not Available | 
| Full Name | Mr Donald L Phillips | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 310 25th Ave N, Nashville, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891761490 | NPI | - | NPPES | 
| 3608045 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN81504 (Tennessee) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 9563 (Tennessee) | Primary | 
| Entity Name | Genesis Anesthesia Services, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316236367 PECOS PAC ID: 2264616101 Enrollment ID: O20110418000529  | 
| Entity Name | Stage Two Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063709392 PECOS PAC ID: 8022286699 Enrollment ID: O20110726000522  | 
| Entity Name | Eye Center Of Nashville Uap, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538567375 PECOS PAC ID: 1052638996 Enrollment ID: O20150402000990  | 
| Entity Name | Hypnos Anesthesia Services, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356799829 PECOS PAC ID: 3173817723 Enrollment ID: O20160804002589  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Donald L Phillips, CRNA Po Box 16068, High Point, NC 27261-6068 Ph: (336) 882-4615  | Mr Donald L Phillips, CRNA 310 25th Ave N, Nashville, TN 37203-1515 Ph: (615) 329-9023  | 
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966  | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321  | |
Jana Koehn,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921  | |
Mr. Timothy Bulso,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000  | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000  | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304  | |
Mrs. Misty Coggins Handy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304  |