Stephen Allen, | |
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
(912) 435-6965 | |
Not Available |
Full Name | Stephen Allen |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801466610 | NPI | - | NPPES |
236 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 101646 (Nebraska) | Primary |
Entity Name | Coastal Ambulatory Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
Entity Name | Gi Anesthesia Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
Mailing Address | Practice Location Address |
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Stephen Allen, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Stephen Allen, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
Phillip L Baldwin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 210-326-0244 | |
Scott Gregory Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6933 | |
Jordan A Mark, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6679 | |
Dean P Baynon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Winn Army Hospital, 1061 Harmon Avenue, Fort Stewart, GA 31314 Phone: 912-618-0039 | |
Ms. Denise Ann Cotton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. Todd Malone, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Patrick Houston, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 |