| Mrs Philicia Ann Taylor, CRNA | |
|
1801 N Jackson St, Tullahoma, TN 37388-8259 | |
| (828) 398-5244 | |
| (828) 360-3080 |
| Full Name | Mrs Philicia Ann Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1801 N Jackson St, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679843551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3007278 (Kentucky) | Primary |
| Entity Name | Murfreesboro Medical Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487604609 PECOS PAC ID: 4789589227 Enrollment ID: O20031206000010 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Philicia Ann Taylor, CRNA 545 Lake Hill Rd, Manchester, TN 37355-4230 Ph: (615) 653-3255 | Mrs Philicia Ann Taylor, CRNA 1801 N Jackson St, Tullahoma, TN 37388-8259 Ph: (828) 398-5244 |
Shawn P. Ross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-393-7933 | |
Sharon Renee Cicero, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 106 W Blackwell St, Tullahoma, TN 37388 Phone: 931-454-9810 Fax: 931-393-1020 | |
Mr. Edward J Daigle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 Washington Park Lane, Suite 600, Tullahoma, TN 37388 Phone: 931-454-9810 Fax: 931-393-1020 |