Chuan He Hicks, CRNA | |
300 East Hospital Road, Fort Eisenhower, GA 30905 | |
(347) 484-1987 | |
Not Available |
Full Name | Chuan He Hicks |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 300 East Hospital Road, Fort Eisenhower, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548724651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 124620 (Georgia) | Primary |
Entity Name | University Anesthesiology Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790722593 PECOS PAC ID: 4789586314 Enrollment ID: O20040123000807 |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Piedmont Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Chuan He Hicks, CRNA 710 Spooner Dr, Evans, GA 30809-5860 Ph: () - | Chuan He Hicks, CRNA 300 East Hospital Road, Fort Eisenhower, GA 30905 Ph: (347) 484-1987 |
Jacob Rookard, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-5811 |