Robert Dickerson, CRNA | |
1013 Cherokee Rd, Perry, GA 31069-0824 | |
(478) 318-0414 | |
Not Available |
Full Name | Robert Dickerson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1013 Cherokee Rd, Perry, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003853052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN129618 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
Coliseum Northside Hospital | Macon, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Llc | 2163837972 | 157 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
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 |
Entity Name | Maga Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801437751 PECOS PAC ID: 6800223504 Enrollment ID: O20200218002683 |
Entity Name | Piedmont Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Robert Dickerson, CRNA Po Box 824, Perry, GA 31069-0824 Ph: (478) 318-0414 | Robert Dickerson, CRNA 1013 Cherokee Rd, Perry, GA 31069-0824 Ph: (478) 318-0414 |
Mrs. Sue A Dobos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 Morningside Dr, Perry, GA 31069 Phone: 478-988-1750 | |
Sharon Eliason Maddrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 118 Jennifer Ln, Perry, GA 31069 Phone: 478-218-5486 |