| Mr Michael D Williams, MSN- CRNA | |
|
435 2nd Street, Newport, TN 37821-3703 | |
| (865) 777-0909 | |
| (865) 777-0910 |
| Full Name | Mr Michael D Williams |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 435 2nd Street, Newport, 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 |
|---|---|---|---|
| 1629015268 | NPI | - | NPPES |
| 000000599493 | Other | KY | BLUE CROSS/BLUE SHIELD |
| 010672601002 | Other | OK | BCBSOK |
| 7100064580 | Medicaid | KY | |
| 4193075 | Other | TN | BLUE CROSS/BLUE SHIELD |
| P00695344 | Other | KY | RAILROAD MEDICARE |
| P00695341 | Other | OK | RAILROAD MEDICARE |
| 1509646 | Medicaid | TN | |
| 200112930A | Medicaid | OK | |
| P00695340 | Other | TN | RAILROAD MEDICARE |
| 1629015268 | Other | OK | BLUE CROSS/BLUE SHIELD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Medical Group Of Arkansas Ltd | 3173056298 | 108 |
| Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 61 |
| Entity Name | Western Arkansas Anesthesiology Associates P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202294 PECOS PAC ID: 0648179291 Enrollment ID: O20040102000767 |
| Entity Name | Taylor Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740738897 PECOS PAC ID: 2163601675 Enrollment ID: O20110128000551 |
| Entity Name | Western Arkansas Obstetric Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952671703 PECOS PAC ID: 2365609328 Enrollment ID: O20120202000076 |
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
| Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
| Entity Name | Renew Medical Group Of Arkansas Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215755947 PECOS PAC ID: 3173056298 Enrollment ID: O20241029000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Williams, MSN- CRNA 12752 Kingston Pike, Ste E202, Knoxville, TN 37934-0948 Ph: (865) 777-0909 | Mr Michael D Williams, MSN- CRNA 435 2nd Street, Newport, TN 37821-3703 Ph: (865) 777-0909 |
Mrs. Hazel Charlene Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 | |
Michael Frank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 2nd St, Newport, TN 37821 Phone: 423-625-2200 | |
Mr. David Blair Coston, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 432 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 |