David Derosso, CRNA | |
1499 Fair Rd, Statesboro, GA 30458-1683 | |
(704) 662-5544 | |
Not Available |
Full Name | David Derosso |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1499 Fair Rd, Statesboro, 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 |
---|---|---|---|
1194897710 | NPI | - | NPPES |
000932236B | Other | GA | PEACHSTATE |
000932236B | Medicaid | GA | |
344303 | Other | GA | WELLCARE |
P00115347 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN135847 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Georgia Regional Medical Center | Statesboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams Southeast Llc | 3870880792 | 66 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | Synergy Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Mailing Address | Practice Location Address |
---|---|
David Derosso, CRNA 598 3rd St, Macon, GA 31201-3357 Ph: (478) 633-6706 | David Derosso, CRNA 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (704) 662-5544 |
Catherine A Landry-arseneault, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1973 | |
Tagel Elizabeth Wilson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000 | |
Mr. Robert D Counts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30459 Phone: 912-486-1000 Fax: 912-871-2392 | |
Trevor Weathersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000 | |
Mr. James Robert Stockton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-681-1150 | |
Mark A Leszczynski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Fair Rd, Statesboro, GA 30458 Phone: 877-727-1960 Fax: 706-854-8454 |