Michael Lockley, CRNA | |
247 S Main St, Reidsville, GA 30453-4605 | |
(912) 557-1000 | |
Not Available |
Full Name | Michael Lockley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 247 S Main St, Reidsville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285225292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN235719 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Se Georgia Anesthesia, Llc | 8426466137 | 105 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | Se Georgia Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
Mailing Address | Practice Location Address |
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Michael Lockley, CRNA Po Box 784, Vidalia, GA 30475-0784 Ph: () - | Michael Lockley, CRNA 247 S Main St, Reidsville, GA 30453-4605 Ph: (912) 557-1000 |
Clayborne Fulchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-664-5303 | |
Jacob Taylor Youmans, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 516-945-3000 Fax: 704-248-5537 | |
Mrs. Janet Paulette Cohen Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 |