Bonnie G Brackin, CRNA | |
303 Parkway Dr Ne, Pmb 404, Atlanta, GA 30312-1212 | |
(404) 265-4520 | |
(404) 265-3894 |
Full Name | Bonnie G Brackin |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 303 Parkway Dr Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578518478 | NPI | - | NPPES |
1982637419 | Other | GA | GROUP NPI |
P00385232 | Other | RAILROAD MEDICARE | |
000561602D | Medicaid | GA | |
N358317 | Other | GA | WELLCARE MEDICAID |
1578518478 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN053969 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Bonnie G Brackin, CRNA Po Box 932925, Atlanta, GA 31193-2925 Ph: (800) 364-9216 | Bonnie G Brackin, CRNA 303 Parkway Dr Ne, Pmb 404, Atlanta, GA 30312-1212 Ph: (404) 265-4520 |
Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249 | |
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121 | |
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771 | |
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437 |