| Vickie Fuqua, CRNA | |
|
110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | |
| (615) 327-4304 | |
| Not Available |
| Full Name | Vickie Fuqua |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 110 29th Ave N, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043210644 | NPI | - | NPPES |
| 74462250 | Medicaid | KY | |
| 3057316 | Other | TN | BCBS NUMBER |
| 3624078 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 046225 (Tennessee) | Primary |
| 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 |
|---|---|
| Vickie Fuqua, CRNA 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 Ph: () - | Vickie Fuqua, CRNA 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 Ph: (615) 327-4304 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Mrs. Misty Coggins Handy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |