| Teagan Trent, | |
|
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | |
| (423) 869-3611 | |
| Not Available |
| Full Name | Teagan Trent |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 6965 Cumberland Gap Pkwy, Harrogate, 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 |
|---|---|---|---|
| 1558018127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 238593 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 35656 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
| Entity Name | Anesthesia Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Teagan Trent, 206 Rogan Rd, Rogersville, TN 37857-3626 Ph: (423) 923-2852 | Teagan Trent, 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (423) 869-3611 |
Alec Wiscombe, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611 | |
Joshua O Leatherwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-309-0746 | |
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |