Dustin Connell, CRNA | |
901 18th St E, Tifton, GA 31794-3648 | |
(229) 353-6124 | |
(229) 353-7722 |
Full Name | Dustin Connell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 901 18th St E, Tifton, 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 |
---|---|---|---|
1306105390 | NPI | - | NPPES |
RN167296 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN167296 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lala Land Anesthesia, Llc | 1254602733 | 2 |
Entity Name | Irwin County Anesthesia, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275754103 PECOS PAC ID: 8426109588 Enrollment ID: O20090630000646 |
Entity Name | Guardian Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
Entity Name | Lala Land Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093242422 PECOS PAC ID: 1254602733 Enrollment ID: O20170801003166 |
Mailing Address | Practice Location Address |
---|---|
Dustin Connell, CRNA 276 Belflower Rd, Tifton, GA 31794-1607 Ph: (229) 392-8840 | Dustin Connell, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6124 |
Cole Burgess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
Heath Farmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
Brenda H. Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Brianna Emadi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Anna Driggers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Jacob Paulk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
June Harper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722 |