| Mrs Karen Koelemay, CRNA | |
|
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
| (901) 818-2160 | |
| (901) 682-9522 |
| Full Name | Mrs Karen Koelemay |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| 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 |
|---|---|---|---|
| 1407807811 | NPI | - | NPPES |
| 04434872 | Medicaid | MS | |
| 915186829 | Medicaid | MO | |
| 127877701 | Medicaid | AR | |
| 3633447 | Medicaid | TN | |
| 4089877 | Other | TN | BLUE CROSS |
| 5T029 | Other | AR | BLUE CROSS |
| P00127942 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN 10857 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN 139171 (Tennessee) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Karen Koelemay, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 | Mrs Karen Koelemay, CRNA 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 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 |