| Mr Edward Molton Sanders Ii, RN | |
|
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
| (901) 818-2183 | |
| (901) 682-9522 |
| Full Name | Mr Edward Molton Sanders Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Exeter Rd, 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 |
|---|---|---|---|
| 1629219720 | NPI | - | NPPES |
| 1514315 | Medicaid | TN | |
| 1629219720 | Other | CHAMPUS/HUMANA TRICARE | |
| 4223156 | Other | TN | BLUE CROSS |
| 00079839 | Medicaid | MS | |
| P00800809 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN 14189 (Tennessee) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN0000131203 (Tennessee) | Secondary |
| Entity Name | St Jude Childrens Research Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Molton Sanders Ii, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2183 | Mr Edward Molton Sanders Ii, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2183 |
Barbara Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kilbirnie Dr, Germantown, TN 38139 Phone: 901-751-2067 | |
Ashley Barker Sugg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Ms. Ashley White Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2183 Fax: 901-682-9522 | |
Samantha Ruth Simmons Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Jerica S Mason, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 | |
Mitchell Joseph Groome, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6000 | |
Mr. Toney L Banks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-3630 |