Amanda Jackson, CRNA | |
209 N Cuthbert St, Colquitt, GA 39837-3518 | |
(229) 758-4212 | |
Not Available |
Full Name | Amanda Jackson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 209 N Cuthbert St, Colquitt, Georgia |
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 |
---|---|---|---|
1629590898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN11019451 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN195072 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Associates Of Tallahassee Inc | 3476446014 | 120 |
Entity Name | Anesthesiology Associates Of Tallahassee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447232137 PECOS PAC ID: 3476446014 Enrollment ID: O20040206000050 |
Entity Name | Greater Florida Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
Mailing Address | Practice Location Address |
---|---|
Amanda Jackson, CRNA Po Box 8866, Greensboro, NC 27419-0866 Ph: (866) 237-8936 | Amanda Jackson, CRNA 209 N Cuthbert St, Colquitt, GA 39837-3518 Ph: (229) 758-4212 |
Karen Nicole Trawick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St,, Colquitt, GA 39837 Phone: 229-758-3385 | |
Charles J Fetner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-6062 | |
Mr. Mac Bradley Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 North Cuthbert Street, Colquitt, GA 39837 Phone: 229-220-4498 |