Mrs Laura A Gullicksen, CRNA | |
6325 W Johns Xing, Johns Creek, GA 30097-5746 | |
(404) 778-8311 | |
(770) 495-1585 |
Full Name | Mrs Laura A Gullicksen |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 6325 W Johns Xing, Johns Creek, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356523161 | NPI | - | NPPES |
00834094A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN144532 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Anesthesia Professionals, Llc | 5496134348 | 425 |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura A Gullicksen, CRNA 4935 Savannah Run, Cumming, GA 30040-0280 Ph: (678) 549-1681 | Mrs Laura A Gullicksen, CRNA 6325 W Johns Xing, Johns Creek, GA 30097-5746 Ph: (404) 778-8311 |
Sheila M Hanley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6335 Hospital Pkwy Ste 111, Attn: Credentialing Dept., Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Jacqueline Yoars, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Suite 304, Johns Creek, GA 30097 Phone: 404-778-8317 | |
Lorri R. South, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097 Phone: 770-712-4616 Fax: 770-495-1585 | |
Mona M Kobernus, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6335 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Mrs. Emily Ramnarine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 678-474-7000 | |
Alicia J Weissgerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste Ll17, Johns Creek, GA 30097 Phone: 404-778-8323 Fax: 770-495-1585 |