Pamela S Ives, CRNA | |
1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | |
(770) 277-3056 | |
(855) 204-5244 |
Full Name | Pamela S Ives |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 35 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
---|---|---|---|
1588602114 | NPI | - | NPPES |
000778863A | Medicaid | GA | |
00778863A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R138376 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN138376 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Anesthesia Professionals, Llc | 5496134348 | 425 |
Entity Name | Gwinnett Anesthesia Service Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528015930 PECOS PAC ID: 3173418290 Enrollment ID: O20040218000315 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
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 |
---|---|
Pamela S Ives, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Pamela S Ives, CRNA 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 Ph: (770) 277-3056 |
John G Bojack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
John D Singleton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Mr. Charles Leroy Peacock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-4321 | |
Dr. Souleymane Kabore, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 | |
Allison Reinecke Hodge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905 | |
Jennifer D Del Bagno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Elizabeth A Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 |