Gina C Riley, CRNA | |
1108 Ross Clark Cir, Dothan, AL 36301-3022 | |
(334) 793-8087 | |
(334) 793-8191 |
Full Name | Gina C Riley |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1108 Ross Clark Cir, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922046093 | NPI | - | NPPES |
00782988A | Medicaid | GA | |
G2332 | Other | FL | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-055466 (Alabama) | Primary |
Entity Name | Houston County Healthcare Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Mailing Address | Practice Location Address |
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Gina C Riley, CRNA Po Box 1928, Dothan, AL 36302-1928 Ph: (334) 793-8087 | Gina C Riley, CRNA 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-8087 |
Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864 | |
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 | |
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419 | |
Janet Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Alto Lee Johnson Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 |