| Mrs Suzanna B Greenwell, MSN-CRNA | |
|
175 Hospital Dr, Camden, TN 38320-1617 | |
| (731) 593-6300 | |
| (615) 620-2323 |
| Full Name | Mrs Suzanna B Greenwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 175 Hospital Dr, Camden, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033147269 | NPI | - | NPPES |
| 4129312 | Other | TN | BC/BS TN - INTEGRATED |
| 4232052 | Other | TN | BC/BS OF TN - SAC |
| 3624344 | Medicaid | TN | |
| 4243114 | Other | TN | BC/BS OF TN - SAS |
| 4236357 | Other | TN | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN71210 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN11316 (Tennessee) | Primary |
| Entity Name | West Tennessee Anesthesia, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427137280 PECOS PAC ID: 8921078312 Enrollment ID: O20040731000339 |
| Entity Name | Southern Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568642114 PECOS PAC ID: 2567549017 Enrollment ID: O20080408000361 |
| Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
| Entity Name | Forefront Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942858394 PECOS PAC ID: 2567895220 Enrollment ID: O20191210003282 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Suzanna B Greenwell, MSN-CRNA Po Box 291264, Nashville, TN 37229-1264 Ph: (615) 620-2320 | Mrs Suzanna B Greenwell, MSN-CRNA 175 Hospital Dr, Camden, TN 38320-1617 Ph: (731) 593-6300 |
Mr. Frankie Joel Eubanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Stirling Rd, Camden, TN 38320 Phone: 931-645-1199 Fax: 931-647-4358 |