| Shannon Renee Fulton, CRNA | |
|
1215 12th Ave S, Suite 3108, Nashville, TN 37203-4922 | |
| (615) 343-6336 | |
| (615) 343-1966 |
| Full Name | Shannon Renee Fulton |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1215 12th Ave S, Nashville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902137821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 14658 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Regional Health Care System | Wichita falls, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wichita Falls Anesthesia Pllc | 7012259260 | 29 |
| Entity Name | Wichita Falls Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639636210 PECOS PAC ID: 7012259260 Enrollment ID: O20190508002236 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Renee Fulton, CRNA 1215 12th Ave S, Suite 3108, Nashville, TN 37203-4922 Ph: (615) 343-6336 | Shannon Renee Fulton, CRNA 1215 12th Ave S, Suite 3108, Nashville, TN 37203-4922 Ph: (615) 343-6336 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Evan Russell Parkinson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |