Dr Michele Marie Ballister, DNP APRN CRNA CHSE | |
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
(706) 822-1411 | |
Not Available |
Full Name | Dr Michele Marie Ballister |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 1514 Vernon Rd, Lagrange, 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 |
---|---|---|---|
1003054586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 289363 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3758 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 169 |
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
Entity Name | Medical University Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
Mailing Address | Practice Location Address |
---|---|
Dr Michele Marie Ballister, DNP APRN CRNA CHSE Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838 | Dr Michele Marie Ballister, DNP APRN CRNA CHSE 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 822-1411 |
Susan L Braddy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Pamela G Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 | |
Mr. Brian Scott Vickery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Jared K Angstadt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |