| Walter K Conerly, CRNA | |
|
709 Middle Creek Rd, Sevierville, TN 37862-5047 | |
| (952) 442-9770 | |
| Not Available |
| Full Name | Walter K Conerly |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 709 Middle Creek Rd, Sevierville, 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 |
|---|---|---|---|
| 1942247523 | NPI | - | NPPES |
| 4121942 | Other | TN | BLUE CROSS OF TN |
| 3636499 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0001150027 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newport Medical Center | Newport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
| 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 | Cocke County Hma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104463322 PECOS PAC ID: 4183898562 Enrollment ID: O20200619000776 |
| Entity Name | Apogee Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891453528 PECOS PAC ID: 8729479159 Enrollment ID: O20211220001183 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter K Conerly, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Walter K Conerly, CRNA 709 Middle Creek Rd, Sevierville, TN 37862-5047 Ph: (952) 442-9770 |
Benjamin J Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1510 Woodhaven Dr, Sevierville, TN 37862 Phone: 865-654-4600 | |
Harold Soles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 709 Middle Creek Rd, Sevierville, TN 37862 Phone: 952-442-9770 | |
Joby R. Edmonds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7823 | |
Jerry Lynn Sutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7800 Fax: 865-446-7751 | |
Benny C Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 709 Middle Creek Rd, Sevierville, TN 37862 Phone: 952-442-9770 |