Kellie Duckworth, CRNA | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 794-0477 | |
(770) 794-3108 |
Full Name | Kellie Duckworth |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 677 Church St Ne, Marietta, 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 |
---|---|---|---|
1730546391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN207654 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Georgia Anesthesiologists, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
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 |
Mailing Address | Practice Location Address |
---|---|
Kellie Duckworth, CRNA 1825 Hickory Creek Ct Nw, Acworth, GA 30102-6416 Ph: (770) 823-2157 | Kellie Duckworth, CRNA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Mrs. Melissa D. Limonta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 Fax: 470-644-1119 | |
Mr. Wesley Eric Karcher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735 | |
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356 | |
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Brady James Flores Banares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |