Mr Brian Scott Vickery, CRNA | |
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
(706) 882-1411 | |
(706) 845-3459 |
Full Name | Mr Brian Scott Vickery |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1514 Vernon Rd, Lagrange, 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 |
---|---|---|---|
1588986335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN204160 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Morganton Anesthesia Partners, Pllc | 7416357801 | 44 |
Entity Name | Morganton Anesthesia Partners, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346828878 PECOS PAC ID: 7416357801 Enrollment ID: O20210607000324 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Scott Vickery, CRNA 3025 Highway 154, Bldg B, Newnan, GA 30265-6121 Ph: (770) 251-2060 | Mr Brian Scott Vickery, CRNA 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
Dr. Michele Marie Ballister, DNP APRN CRNA CHSE Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-822-1411 | |
Susan L Braddy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Pamela G Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 | |
Jared K Angstadt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |