| Sharon Renee Cicero, CRNA | |
|
106 W Blackwell St, Tullahoma, TN 37388-3556 | |
| (931) 454-9810 | |
| (931) 393-1020 |
| Full Name | Sharon Renee Cicero |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 106 W Blackwell 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 |
|---|---|---|---|
| 1457314304 | NPI | - | NPPES |
| 4062939 | Other | TN | BLUECROSS |
| P00021588 | Other | TN | RAILROAD MEDICARE |
| 3625389 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10106 (Tennessee) | Primary |
| Entity Name | Anesthesia Care Of Tullahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902849607 PECOS PAC ID: 4385558543 Enrollment ID: O20031113000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Renee Cicero, CRNA Po Box 415000-msc8337, Nashville, TN 37241-8337 Ph: (865) 670-6199 | Sharon Renee Cicero, CRNA 106 W Blackwell St, Tullahoma, TN 37388-3556 Ph: (931) 454-9810 |
Shawn P. Ross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-393-7933 | |
Mrs. Philicia Ann Taylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 828-398-5244 Fax: 828-360-3080 | |
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 |