Mrs Anne Mcclung Modi, CRNA | |
1140 Hammond Dr Ne, Building F, Suite 6100, Atlanta, GA 30328-5338 | |
(770) 645-9181 | |
(770) 645-8455 |
Full Name | Mrs Anne Mcclung Modi |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1140 Hammond Dr Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841228251 | NPI | - | NPPES |
000885992A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN042198 (Georgia) | Primary |
Entity Name | North Fulton Anesthesia Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
Entity Name | Ambulatory Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851799373 PECOS PAC ID: 9931401858 Enrollment ID: O20160111000407 |
Entity Name | North Perimeter Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457716516 PECOS PAC ID: 4486951845 Enrollment ID: O20160330000560 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anne Mcclung Modi, CRNA 3155 N Point Pkwy, Building F, Suite 100, Alpharetta, GA 30005-5481 Ph: (770) 645-5117 | Mrs Anne Mcclung Modi, CRNA 1140 Hammond Dr Ne, Building F, Suite 6100, Atlanta, GA 30328-5338 Ph: (770) 645-9181 |
Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249 | |
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121 | |
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771 | |
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437 |