Philip R Yacko, CRNA | |
2105 E South Blvd, Montgomery, AL 36116-2409 | |
(770) 643-5619 | |
Not Available |
Full Name | Philip R Yacko |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 2105 E South Blvd, Montgomery, Alabama |
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 |
---|---|---|---|
1528710530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-150716 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
Baptist Medical Center East | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amsol Anesthetists Of Georgia, Llc | 5193780955 | 25 |
Premier Anesthesia Of Montgomery Pc | 5799684148 | 83 |
Entity Name | Premier Anesthesia Of Montgomery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
Entity Name | Amsol Anesthetists Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20080829000381 |
Mailing Address | Practice Location Address |
---|---|
Philip R Yacko, CRNA 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (770) 643-5619 | Philip R Yacko, CRNA 2105 E South Blvd, Montgomery, AL 36116-2409 Ph: (770) 643-5619 |
Mrs. Amanda Marie Haigler, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Crista Wanda Marquardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Andrew Easterling, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-279-1450 Fax: 334-395-4115 | |
James Cowell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Thomas H. Booth Ii, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-386-3579 | |
Susan Hamilton Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Hollie Nicole Sanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Baptist Hospital Dept Of Anes, Montgomery, AL 36116 Phone: 770-643-5619 |