Brandon Allen, CRNA | |
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
(762) 408-2273 | |
Not Available |
Full Name | Brandon Allen |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407428790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN316457 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP61189448 (Washington) | Primary |
Entity Name | Sentry Anesthesia Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Mailing Address | Practice Location Address |
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Brandon Allen, CRNA 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: () - | Brandon Allen, CRNA 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273 |
Eric Henderson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3107 | |
Dr. Brooke Kahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3230 | |
Dr. Graham James Gorsline, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-3230 | |
Ryann Mae Murphy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 516-330-3148 | |
Christopher Shi Chung Wang, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-3105 | |
Jeremy Keith Crouch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-0455 Fax: 000-000-0000 |