| Mr Kevin Smith, | |
|
1900 Exeter Rd, Germantown, TN 38138 | |
| (901) 818-2160 | |
| Not Available |
| Full Name | Mr Kevin Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 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 |
|---|---|---|---|
| 1992062020 | NPI | - | NPPES |
| 1992062020 | Other | TN | CHAMPUS/TRICARE |
| 192893001 | Medicaid | AR | |
| 09552701 | Medicaid | MS | |
| 1528772 | Medicaid | TN | |
| 4327295 | Other | TN | BCBST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000158867 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN 16753 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Health Community Multispecialty Providers Llc | 9537468574 | 578 |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Smith, 6910 7th Rd, Bartlett, TN 38135-2568 Ph: (901) 386-8539 | Mr Kevin Smith, 1900 Exeter Rd, Germantown, TN 38138 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 |