Mona L Gore, CRNA is a
Nurse Anesthetist, Certified Registered based in Sandersville, Georgia. Mona L Gore is licensed to practice in South Carolina (license number R32205) and her current practice location is
104 Malone St, Sandersville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(877) 301-8513.
NPI number for Mona L Gore is 1306810676 and her current mailing address is Po Box 992, Sandersville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306810676.
Provider's Profile
Full Name | Mona L Gore |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 104 Malone St, Sandersville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306810676
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 09/13/2012
Medical Identifiers
Medical identifiers for Mona L Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306810676 | NPI | - | NPPES |
AN0251 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R32205 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mona L Gore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mona L Gore, CRNA Po Box 992, Sandersville, GA 31082-0992 Ph: (877) 301-8513 | Mona L Gore, CRNA 104 Malone St, Sandersville, GA 31082-1738 Ph: (877) 301-8513 |
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