| Tracey L Achenbach, CRNA | |
|
721 Madison St Se, Huntsville, AL 35801-4408 | |
| (256) 880-6711 | |
| (256) 880-6712 |
| Full Name | Tracey L Achenbach |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 721 Madison St Se, Huntsville, Alabama |
| 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 |
|---|---|---|---|
| 1063461713 | NPI | - | NPPES |
| 51531739 | Other | AL | BLUE SHIELD |
| 51002179 | Other | AL | BLUE SHIELD |
| 051556509 | Medicaid | AL | |
| 051531739 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-105829 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| 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 | Knoxville Gastroenterology Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356717227 PECOS PAC ID: 8325357155 Enrollment ID: O20151019001298 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey L Achenbach, CRNA Po Box 288, Huntsville, AL 35804-0288 Ph: (256) 880-6711 | Tracey L Achenbach, CRNA 721 Madison St Se, Huntsville, AL 35801-4408 Ph: (256) 880-6711 |
Jedidiah A Earls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Brian Alan Piazza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-469-7895 Fax: 256-270-8937 | |
Charlotte A Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Marlin Sean Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Mrs. Julie D Mccoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000 Fax: 256-265-2186 | |
Terry Dale Wendell Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Alan A Berard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 |