| Mr Ethan Anson Simmons, CRNA | |
|
800 Lakeshore Dr, Birmingham, AL 35229-0001 | |
| (205) 726-2401 | |
| Not Available |
| Full Name | Mr Ethan Anson Simmons |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 800 Lakeshore Dr, Birmingham, Alabama |
| 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 |
|---|---|---|---|
| 1245905439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-169697 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-west Georgia Anesthesia Associates Inc. | 2365456308 | 65 |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan Anson Simmons, CRNA 404 Pebble Creek Dr, Gardendale, AL 35071-2780 Ph: (205) 542-6373 | Mr Ethan Anson Simmons, CRNA 800 Lakeshore Dr, Birmingham, AL 35229-0001 Ph: (205) 726-2401 |
Madison Thomas Hulker, WHNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1700 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411 | |
Shannon Marie Harrison, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-6050 | |
Mrs. Leah York Richardson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-242-8734 | |
Tyler Bishop, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 256-490-6381 | |
Emily Karanja, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Dr E, Birmingham, AL 35235 Phone: 205-838-3245 | |
Latasha Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 615 18th St S, Birmingham, AL 35233 Phone: 205-996-3050 | |
Anna Glyn Wall, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2452 Ridgemont Dr, Birmingham, AL 35244 Phone: 205-432-8196 |