| Shawn P Ross, CRNA | |
|
1801 N Jackson St, Tullahoma, TN 37388-2201 | |
| (931) 393-7933 | |
| Not Available |
| Full Name | Shawn P Ross |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1801 N Jackson St, Tullahoma, 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 |
|---|---|---|---|
| 1194748673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN0000152627 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11718 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resource Anesthesia, P.c. | 1254228141 | 67 |
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| 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 | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140314001426 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn P Ross, CRNA 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (800) 242-1131 | Shawn P Ross, CRNA 1801 N Jackson St, Tullahoma, TN 37388-2201 Ph: (931) 393-7933 |
Sharon Renee Cicero, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 106 W Blackwell St, Tullahoma, TN 37388 Phone: 931-454-9810 Fax: 931-393-1020 | |
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 |