Charles Videna, CRNA | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-0211 | |
Not Available |
Full Name | Charles Videna |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1120 15th St, Augusta, 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 |
---|---|---|---|
1386396745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN236060 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Anesthesia Billing Services, Llc | 1557256393 | 77 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Charles Videna, CRNA 2218 Ridgecrest Dr, Augusta, GA 30907-4800 Ph: (706) 721-0211 | Charles Videna, CRNA 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-0211 |
John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 | |
Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 | |
Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Amber Dawn Toulson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-373-3877 | |
Kristin M. Geraghty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-3871 |