| Mr Jeremy Fendley, CRNA | |
|
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
| (901) 818-2160 | |
| (901) 682-9522 |
| Full Name | Mr Jeremy Fendley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1900 Exeter Rd, Germantown, 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 |
|---|---|---|---|
| 1700830544 | NPI | - | NPPES |
| 4098869 | Other | TN | BLUE CROSS |
| P00178338 | Other | TN | RAILROAD MEDICARE |
| 08152327 | Medicaid | MS | |
| 161283001 | Medicaid | AR | |
| 83990 | Other | AR | BLUE CROSS |
| 3634116 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN 10544 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN 147039 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional One Health | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ut Regional One Physicians Inc | 5698993418 | 298 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Fendley, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 | Mr Jeremy Fendley, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |