| Tammy S Kellogg, CRNA | |
|
1307 West Ave, Suite 102, Crossville, TN 38555-5107 | |
| (931) 456-4433 | |
| (931) 456-4405 |
| Full Name | Tammy S Kellogg |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 1307 West Ave, Crossville, 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 |
|---|---|---|---|
| 1215981279 | NPI | - | NPPES |
| 106290 | Other | TN | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 106290 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cumberland Medical Center | Crossville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| 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 |
|---|---|
| Tammy S Kellogg, CRNA 1307 West Ave, Suite 102, Crossville, TN 38555-5107 Ph: (931) 456-4433 | Tammy S Kellogg, CRNA 1307 West Ave, Suite 102, Crossville, TN 38555-5107 Ph: (931) 456-4433 |
Sidney Reiber, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1307 West Ave, Suite 102, Crossville, TN 38555 Phone: 931-456-4433 Fax: 931-456-4405 | |
Brice Hammons Fitch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Crossville, TN 38555 Phone: 931-484-9511 | |
Donald D Richards Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Crossville, TN 38555 Phone: 931-484-9511 | |
Donald R Taylor, CRN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1307 West Ave, Suite 102, Crossville, TN 38555 Phone: 931-456-4433 Fax: 931-456-4405 |