Lori Marie Boswell, CRNA | |
4090 Eagle Nest Dr, Evans, GA 30809-4812 | |
(706) 836-0246 | |
Not Available |
Full Name | Lori Marie Boswell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 4090 Eagle Nest Dr, Evans, 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 |
---|---|---|---|
1760801674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN192824 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Anesthesia Billing Services, Llc | 1557256393 | 77 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
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 |
---|---|
Lori Marie Boswell, CRNA 4090 Eagle Nest Dr, Evans, GA 30809-4812 Ph: (706) 836-0246 | Lori Marie Boswell, CRNA 4090 Eagle Nest Dr, Evans, GA 30809-4812 Ph: (706) 836-0246 |
Mrs. Christine Leigh Futch Pickrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 Pond View Rd, Evans, GA 30809 Phone: 706-284-3163 | |
Mr. Darrell Ragan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Full Circle Dr, Evans, GA 30809 Phone: 706-631-9979 | |
Emma Collom, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4211 Aerie Cir, Evans, GA 30809 Phone: 912-506-4435 |