Mr Edwin S Fuller, CRNA | |
541 Historic Hwy 441 North, Demorest, GA 30535 | |
(706) 839-6205 | |
(706) 754-9668 |
Full Name | Mr Edwin S Fuller |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 34 Years |
Location | 541 Historic Hwy 441 North, Demorest, 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 |
---|---|---|---|
1396765475 | NPI | - | NPPES |
00550734C | Medicaid | GA | |
000550734E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R105765 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coastal Carolina Hospital | Hardeeville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin S Fuller, CRNA Po Box 369, Turnerville, GA 30580-0369 Ph: (706) 839-6205 | Mr Edwin S Fuller, CRNA 541 Historic Hwy 441 North, Demorest, GA 30535 Ph: (706) 839-6205 |
William E Garry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-839-6205 Fax: 706-754-9668 | |
Thomas A Opilka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-839-6205 Fax: 706-754-9668 | |
Jonathan C Griggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-839-6205 Fax: 706-754-9668 | |
Daniel Bryce Skipper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy #441-n, Demorest, GA 30535 Phone: 706-754-2161 | |
Mr. Kerry H Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy 441 North, Demorest, GA 30535 Phone: 706-839-6205 Fax: 706-754-9668 | |
Jeremy Webb, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 441 Historic Hwy N, Demorest, GA 30535 Phone: 904-625-2073 | |
Brandon S Reddock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 541 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-839-6205 Fax: 706-754-9668 |