| Mr Michael C Mcconnell, CRNA | |
|
1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | |
| (901) 866-8813 | |
| (901) 302-2120 |
| Full Name | Mr Michael C Mcconnell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 1407 Union Ave, Memphis, 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 |
|---|---|---|---|
| 1962460998 | NPI | - | NPPES |
| 4010460 | Other | TN | BLUE CROSS W/MAA |
| 136280701 | Other | AR | MEDICAID W/MAA |
| 3607664 | Medicaid | TN | |
| 98469 | Other | AR | BLUE CROSS W/MAA |
| 0116747 | Other | MS | MEDICAID W/MAA |
| 430056979 | Other | TN | RAILROAD MEDICARE W/MAA |
| 915066112 | Other | MO | MEDICAID W/MAA |
| 3607663 | Other | TN | MEDICARE W/MAA |
| 3607660 | Other | TN | MEDICAID W/MAA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9302 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Tennessee Pc | 9931001922 | 282 |
| 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 | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20091231000232 |
| 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 |
| Entity Name | Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639758535 PECOS PAC ID: 1557770096 Enrollment ID: O20210512002686 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael C Mcconnell, CRNA 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 Ph: (901) 866-8360 | Mr Michael C Mcconnell, CRNA 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 Ph: (901) 866-8813 |
Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872 | |
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846 | |
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 | |
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454 | |
Miss Christina Clare Delaughter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Humphreys Center Dr Ste 101, Memphis, TN 38120 Phone: 901-747-3233 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 |