| Tido A Latour, CRNA | |
|
1009 Novus Dr Ste 2, Johnson City, TN 37604-8237 | |
| (423) 283-0776 | |
| Not Available |
| Full Name | Tido A Latour |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1009 Novus Dr Ste 2, Johnson City, 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 |
|---|---|---|---|
| 1457348773 | NPI | - | NPPES |
| 39792 | Other | TN | TLC |
| 413868097 | Other | TN | TRICARE |
| 4142848 | Other | TN | BLUE CROSS |
| P00391672 | Other | RR MEDICARE # | |
| 205315 | Other | TN | UNISON |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Anesthesia Pc | 8921044744 | 198 |
| 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 | 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 | Henry County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073765475 PECOS PAC ID: 6002898665 Enrollment ID: O20081029000244 |
| Entity Name | Paragon Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| Entity Name | Integrity Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528798014 PECOS PAC ID: 2668855206 Enrollment ID: O20220816000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Tido A Latour, CRNA 1009 Novus Dr Ste 2, Johnson City, TN 37604-8237 Ph: (423) 283-0776 | Tido A Latour, CRNA 1009 Novus Dr Ste 2, Johnson City, TN 37604-8237 Ph: (423) 283-0776 |
Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Lisa W Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142 | |
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697 | |
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776 | |
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776 | |
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 |