Deanna Holland Powell, CRNA | |
1900 Tebeau St, Waycross, GA 31501-6357 | |
(912) 338-6511 | |
(912) 338-6512 |
Full Name | Deanna Holland Powell |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1900 Tebeau St, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639146830 | NPI | - | NPPES |
534720281C | Medicaid | GA | |
P00352166 | Other | GA | RR MEDICARE INDIVIDUAL |
534720281B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN140357 (Georgia) | Primary |
Entity Name | Bacon County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629185285 PECOS PAC ID: 1850294034 Enrollment ID: O20040127001164 |
Entity Name | Anesthesia Consultants Of Athens |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005636 PECOS PAC ID: 2567459902 Enrollment ID: O20040428000654 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
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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Deanna Holland Powell, CRNA Po Box 73709, Newnan, GA 30271-3709 Ph: (770) 251-2060 | Deanna Holland Powell, CRNA 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 338-6511 |
Robert M Roberson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Harriet L Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 336-553-1659 Fax: 336-553-3994 | |
Mrs. Mary A Justyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Anthony Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Ms. Mary Carolyn Linder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Lisa F Goedert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 |