Mr Glen Roland Horne, CRNA | |
2525 Desales Ave, Chattanooga, TN 37404-1161 | |
(423) 206-5040 | |
Not Available |
Full Name | Mr Glen Roland Horne |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2525 Desales Ave, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013088194 | NPI | - | NPPES |
430010318 | Other | GA | TRI-CARE |
430010318 | Other | GA | RAIL ROAD MEDICARE |
20-02624 | Other | GA | UNITED HEALTHCARE |
52159539-001 | Other | GA | BLUE CROSS BLUE SHIELD |
156961100 | Other | GA | U.S. DEPT OF LABOR |
9975585 | Other | GA | UNIVERSAL HEALTHCARE |
000521435B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 110691 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9397267 (Florida) | Primary |
Entity Name | United Hospital Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
Mailing Address | Practice Location Address |
---|---|
Mr Glen Roland Horne, CRNA 5 Calhoun Ave, Unit 606, Destin, FL 32541-5509 Ph: (404) 310-6048 | Mr Glen Roland Horne, CRNA 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: (423) 206-5040 |
Megan A Spears, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Mr. Edward Brian Hallock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-602-8400 Fax: 423-602-8401 | |
Amy T. Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 | |
Eun Hyea Godbold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-495-2525 | |
Christina Michelle Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C235, Chattanooga, TN 37403 Phone: 423-602-8400 | |
Mrs. Julie D Baggett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404 Phone: 423-698-3309 Fax: 423-624-6355 |