| Ms Penny Beckham, CRNA | |
|
262 Danny Thomas Place, Ms 0515, C/o Dana Cannon, Memphis, TN 38105-3678 | |
| (901) 595-3006 | |
| (901) 595-3842 |
| Full Name | Ms Penny Beckham |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 262 Danny Thomas Place, Ms 0515, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457357162 | NPI | - | NPPES |
| 010016771 | Medicaid | VA | |
| 167251101 | Medicaid | TX | |
| 2413427 | Medicaid | OH | |
| 200456220A | Medicaid | IN | |
| 422400000 | Medicaid | ME | |
| 915357800 | Medicaid | MO | |
| 3495434 | Medicaid | TN | |
| QRN/APN014 | Medicaid | SC | |
| 00126561 | Medicaid | MS | |
| 148279701 | Medicaid | AR | |
| 104694240 | Medicaid | MI | |
| 100849790A | Medicaid | OK | |
| 1132730 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 75933 (Tennessee) | Primary |
| Entity Name | St Jude Childrens Research Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Penny Beckham, CRNA 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Ms Penny Beckham, CRNA 262 Danny Thomas Place, Ms 0515, C/o Dana Cannon, Memphis, TN 38105-3678 Ph: (901) 595-3006 |
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: Accepting Medicare Assignments Practice Location: 80 Humphreys Center Dr Ste 101, Memphis, TN 38120 Phone: 901-747-3233 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 |