Madge Evans Moon, CRNA | |
3000 Hospital Blvd, Roswell, GA 30076-4915 | |
(770) 751-2623 | |
(770) 751-2627 |
Full Name | Madge Evans Moon |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 3000 Hospital Blvd, Roswell, 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 |
---|---|---|---|
1215917976 | NPI | - | NPPES |
000924712D | Medicaid | GA | |
000924712E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN153489 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN1305 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Virginia Medical Center | Charlottesville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rector And Visitors Of The University Of Virginia | 4789592718 | 72 |
Entity Name | Rector & Visitors Of The University Of Virginia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780630608 PECOS PAC ID: 4789592718 Enrollment ID: O20031118000066 |
Mailing Address | Practice Location Address |
---|---|
Madge Evans Moon, CRNA Po Box 105048, Atlanta, GA 30348-5048 Ph: (770) 751-2623 | Madge Evans Moon, CRNA 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2623 |
Lina Nmn Cline, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Park East Dr, Roswell, GA 30075 Phone: 678-523-4000 | |
Dr. Sydney Mara Suss, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500 | |
Shannon Woodall Betsill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676 Fax: 678-762-7980 | |
Roger Lee Brown Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Anesthesia Dept., Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627 | |
Mitchael Lee Vickers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676 | |
Patricia Amirault Crowder, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500 Fax: 770-751-2609 |