Mrs Stacey Ann Ryder, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kingsport, TN

Mrs Stacey Ann Ryder, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice American Anesthesiology Of Tennessee Pc and her current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-4000.

Mrs Stacey Ann Ryder is licensed to practice in Tennessee (license number 0) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013256809.

Contact Information

Mrs Stacey Ann Ryder, CRNA
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-4000
Not Available



Provider's Profile

Full NameMrs Stacey Ann Ryder
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Stacey Ann Ryder attended and graduated from Lincoln Memorial University Medical Department in 2012
  NPI Data:
  • NPI Number: 1013256809
  • Provider Enumeration Date: 02/13/2013
  • Last Update Date: 02/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0840437117
  • Enrollment ID: I20130503000256

Medical Identifiers

Medical identifiers for Mrs Stacey Ann Ryder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013256809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Of Tennessee Pc9931001922382

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Stacey Ann Ryder allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364

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Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacey Ann Ryder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stacey Ann Ryder, CRNA
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-4000
Mrs Stacey Ann Ryder, CRNA
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-4000

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Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Jeffry M Holweger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663
Phone: 423-426-2121    
Geena Sollecito,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663
Phone: 423-390-0451    
Jeri L Holweger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663
Phone: 423-426-2122    
Mrs. Katherine A Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7144    
Bethany Kossick Seale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-5711    
Sandra J White, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    

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