Nancy Miyumo Ogendo, CRNA | |
3950 Austell Rd, Austell, GA 30106-1121 | |
(770) 674-8626 | |
(770) 732-5182 |
Full Name | Nancy Miyumo Ogendo |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 3950 Austell Rd, Austell, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528458270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN232091 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Entity Name | Mak Anesthesia Cobb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699045070 PECOS PAC ID: 7810154960 Enrollment ID: O20120201000868 |
Entity Name | Mak Anesthesia, Nw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609202720 PECOS PAC ID: 4880820315 Enrollment ID: O20131111001715 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
---|---|
Nancy Miyumo Ogendo, CRNA 1635 Old 41 Hwy Nw Ste 112-328, Kennesaw, GA 30152-4480 Ph: (770) 674-8626 | Nancy Miyumo Ogendo, CRNA 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 674-8626 |
Paul P Serdula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Grace A Langley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Stacy Harrison Bradfield, SRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3870 Medical Park Dr, Ste 110, Austell, GA 30106 Phone: 770-948-6824 | |
Taylor Armstead, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-702-1806 | |
Melissa T Clinkscales, PAAA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Mylena Ann Clayton, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 | |
Carmen Nicole Simmons, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3648 |