| Russell E Long, CRNA | |
|
1114 W Madison Ave, Athens, TN 37303-4150 | |
| (423) 745-1411 | |
| Not Available |
| Full Name | Russell E Long |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1114 W Madison Ave, Athens, 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 |
|---|---|---|---|
| 1548247430 | NPI | - | NPPES |
| 4129533 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3629553 | Medicaid | TN | |
| P00343315 | Other | TN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA#10632 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athens Anesthesia Associates Inc | 2961407895 | 5 |
| Entity Name | Tennessee Valley Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447202452 PECOS PAC ID: 1052350519 Enrollment ID: O20050426000139 |
| Entity Name | Athens Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649229014 PECOS PAC ID: 2961407895 Enrollment ID: O20060927000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E Long, CRNA Po Box 220, Athens, TN 37371-0220 Ph: (423) 424-3695 | Russell E Long, CRNA 1114 W Madison Ave, Athens, TN 37303-4150 Ph: (423) 745-1411 |
John C Asbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Chris A Fugunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 | |
Michael J Fahey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 105 N Meadows Dr, Athens, TN 37303 Phone: 423-649-3300 | |
Douglas R Barrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 105 N Meadows Dr, Athens, TN 37303 Phone: 423-899-9080 | |
Kurtis Lansdell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 |