John Gregory Lewis, CRNA | |
4370 W Main St, Dothan, AL 36305 | |
(334) 793-5000 | |
(334) 615-8419 |
Full Name | John Gregory Lewis |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4370 W Main St, 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 |
---|---|---|---|
1326088667 | NPI | - | NPPES |
1772364 | Medicaid | LA | |
51526516 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0000136709 (Tennessee) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 1084336 (Alabama) | Primary |
Entity Name | Southern Alabama Surgery Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
Entity Name | Dothan Anesthesiology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368 |
Mailing Address | Practice Location Address |
---|---|
John Gregory Lewis, CRNA Po Box 6907, Dothan, AL 36302 Ph: (334) 793-5000 | John Gregory Lewis, CRNA 4370 W Main St, Dothan, AL 36305 Ph: (334) 793-5000 |
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 |