Sarah Mercedes Briceno, | |
1101 Ocilla Rd, Douglas, GA 31533-2262 | |
(912) 384-1900 | |
Not Available |
Full Name | Sarah Mercedes Briceno |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1101 Ocilla Rd, Douglas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154036341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN259000 (Georgia) | Primary |
Entity Name | Coffee Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
Mailing Address | Practice Location Address |
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Sarah Mercedes Briceno, 1101 Ocilla Rd, Douglas, GA 31533-2262 Ph: (912) 384-1900 | Sarah Mercedes Briceno, 1101 Ocilla Rd, Douglas, GA 31533-2262 Ph: (912) 384-1900 |
Stuart Jackson O'steen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 | |
Patricia Dale Collins-young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 | |
George Egolf, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 | |
John G Wooley Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1320 Madison Ave S, #145, Douglas, GA 31533 Phone: 850-251-2511 |