Marilyn Louise Bean, M.D.
Individual provider Active NPI Anesthesiology Physician · Chattanooga, TN
NPI 1366417545 · NPPES record last updated Sep 17, 2013
Key facts
- NPI
- 1366417545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD33875 (TN)
- Practice address
- 2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239 - Phone
- (423) 698-3309
- Fax
- (423) 624-6355
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Tulane University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Health Partners Foundation Inc
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525
Hospital & facility affiliations
- Memorial Healthcare System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041207000895 | TN | Practitioner - Anesthesiology | 6305802760 | Reassigns benefits to 2 organizations |
| I20190410001600 | GA | Practitioner - Anesthesiology | 6305802760 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD38175 | GA | MD | Anesthesiology Physician |
| MD33875 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current |
Accepting new patients |
| Memorial Health Partners Foundation, Inc | Current |
Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD33875 | TN | Yes |
| Anesthesiology Physician | 207L00000X | MD38175 | GA |
Addresses
Primary practice location
2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239
Mailing address
PO Box 3549
Chattanooga, TN 37404-0549
Phone (423) 698-3309
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3850312 | Medicaid | TN | |
| 4346932 | Other | TN | BC BS OF TN |
| 3141181 | Other | TN | BCBS |
Other providers in Chattanooga, TN
- Beacon Health Alliance PC
- Beacon Health Alliance PC
- Thomas Marion Beahm
- Heather Ludwig Beakley
- Heather Beal
- Mary Laura Bean
- Robert Lee Bean
- Alyssa Bear
- Joseph Bear
- Kathryn Beard
All providers in Chattanooga, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.