Brandon Reeves Blount, CRNA | |
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
(535) 912-5894 | |
Not Available |
Full Name | Brandon Reeves Blount |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1 Meadows Pkwy, Vidalia, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457006256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN223811 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emanuel Medical Center | Swainsboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emanuel County Hospital Authority | 3577473040 | 45 |
Entity Name | Emanuel County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003221243 PECOS PAC ID: 3577473040 Enrollment ID: O20040107000256 |
Entity Name | Se Georgia Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
Mailing Address | Practice Location Address |
---|---|
Brandon Reeves Blount, CRNA 263 Nutmeg Ln, Swainsboro, GA 30401-4565 Ph: () - | Brandon Reeves Blount, CRNA 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (535) 912-5894 |
Shannon Lacey Staten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 | |
Daniel Tyler Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228 | |
Damon Keith Jessup, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228 | |
Timothy Roose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: One Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Ann Marie Chalker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 |