| Mr Jerry M Adam, CRNA | |
|
1027 E Main St, Morristown, TN 37814-6632 | |
| (423) 581-5984 | |
| (423) 581-0984 |
| Full Name | Mr Jerry M Adam |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1027 E Main St, Morristown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932194396 | NPI | - | NPPES |
| 4095611 | Other | TN | BCBS |
| 3625145 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN0000097158 (Tennessee) | Primary |
| Entity Name | Foothills Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285873380 PECOS PAC ID: 9335296466 Enrollment ID: O20090407000500 |
| Entity Name | Kentenn Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346511011 PECOS PAC ID: 4082878079 Enrollment ID: O20120601000288 |
| Entity Name | Knoxville Gastroenterology Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356717227 PECOS PAC ID: 8325357155 Enrollment ID: O20151019001298 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry M Adam, CRNA Po Box 1718, Morristown, TN 37816-1718 Ph: (423) 581-5987 | Mr Jerry M Adam, CRNA 1027 E Main St, Morristown, TN 37814-6632 Ph: (423) 581-5984 |
Mr. Anthony Wayne Sullinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 Mcfarland St, Morristown, TN 37814 Phone: 423-522-6000 | |
Don G Quilliams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 E Main St, Morristown, TN 37814 Phone: 423-581-5984 Fax: 423-581-0984 | |
Mr. Kenneth Dean Ball, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 726 Mcfarland St, Morristown, TN 37814 Phone: 423-522-6160 | |
Dana Morelock, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 726 Mcfarland St, Morristown, TN 37814 Phone: 423-522-6160 | |
Peter L Hearn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4720 Horseshoe Trail, Morristown, TN 37814 Phone: 423-276-4069 | |
Mr. John Thomas Mountain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1620 Smithview Dr, Morristown, TN 37814 Phone: 423-312-3128 | |
Mrs. Julie C Wilkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 E Main St, Morristown, TN 37814 Phone: 423-581-5984 Fax: 423-581-0984 |