| Mr John Nelson, CRNA | |
|
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
| (901) 818-2160 | |
| (901) 682-9522 |
| Full Name | Mr John Nelson |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| 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 |
|---|---|---|---|
| 1780636738 | NPI | - | NPPES |
| P00159502 | Other | TN | RR MEDICARE |
| 3604952 | Medicaid | TN | |
| 4099285 | Other | TN | BCBSTN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | APN 9299 (Tennessee) | Primary |
| Entity Name | Gastroenterology Center Of The Midsouth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Nelson, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 | Mr John Nelson, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 |
Micah Best, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-682-9522 | |
Mrs. Shannon N Noblin, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Melanie Benton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2129 West Street Suite 224, Germantown, TN 38138 Phone: 866-563-7772 Fax: 901-255-0758 | |
Mrs. Teresa Murphree, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 7460 Wolf River Blvd, Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-761-4002 | |
Mr. Jesse Newton Lee, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Germantown, TN 38138 Phone: 901-818-2160 | |
Mr. Michael Elvis Davison, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Eleanor Lacsa San Pedro, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6386 |