Dr Olivier Mba, CRNA | |
3869 Brentview Pl Nw, Kennesaw, GA 30144-2292 | |
(678) 333-1944 | |
Not Available |
Full Name | Dr Olivier Mba |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 3869 Brentview Pl Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437742798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN195909 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital Midtown | Atlanta, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Coastal Ambulatory Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
Entity Name | Excalibur Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679933774 PECOS PAC ID: 4284930793 Enrollment ID: O20160309002234 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Gi Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
Mailing Address | Practice Location Address |
---|---|
Dr Olivier Mba, CRNA 3869 Brentview Pl Nw, Kennesaw, GA 30144-2292 Ph: (678) 333-1944 | Dr Olivier Mba, CRNA 3869 Brentview Pl Nw, Kennesaw, GA 30144-2292 Ph: (678) 333-1944 |
Laura Uphouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Daisy Tambe Jean-pierre, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Katelyn E Longacre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 Fax: 770-693-0810 | |
Jenny R Deforeest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Lauren Turley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152 Phone: 404-542-0285 | |
Paul Christopher Dozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 |