Deanna M Wildes, RN, BSN | |
4750 Waters Avenue, Suite 500, Savannah, GA 31404-6261 | |
(912) 352-8346 | |
(912) 355-1414 |
Full Name | Deanna M Wildes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 4750 Waters Avenue, Savannah, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003199480 | NPI | - | NPPES |
003115053F | Medicaid | GA | |
003115053A | Medicaid | GA | |
003115053C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN077963 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Savannah Vascular Institute, Llc | 2769542075 | 20 |
Entity Name | Savannah Vascular Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184873390 PECOS PAC ID: 2769542075 Enrollment ID: O20081117000514 |
Mailing Address | Practice Location Address |
---|---|
Deanna M Wildes, RN, BSN Po Box 116336, Atlanta, GA 30368-6336 Ph: (912) 352-8346 | Deanna M Wildes, RN, BSN 4750 Waters Avenue, Suite 500, Savannah, GA 31404-6261 Ph: (912) 352-8346 |
Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643 | |
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843 | |
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805 | |
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297 | |
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040 | |
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676 |