Tracy Dale Stanley, CRNA | |
3131 S Main St, Moultrie, GA 31768-6925 | |
(229) 891-9131 | |
(229) 891-9079 |
Full Name | Tracy Dale Stanley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 3131 S Main St, Moultrie, Georgia |
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 |
---|---|---|---|
1730496878 | NPI | - | NPPES |
003106944A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN211459 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ams Southeast Llc | 3870880792 | 66 |
Entity Name | Colquitt Regional Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154580512 PECOS PAC ID: 2860563665 Enrollment ID: O20080623000359 |
Entity Name | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Mailing Address | Practice Location Address |
---|---|
Tracy Dale Stanley, CRNA Po Box 8866, Greensboro, NC 27419-0866 Ph: (336) 553-1659 | Tracy Dale Stanley, CRNA 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 891-9131 |
Curtis Winfred Wilson, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-891-9131 Fax: 229-891-9079 | |
Jeffery W Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 | |
John Lewis Norman, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-591-9131 Fax: 229-891-9079 | |
Robert Briley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-985-3420 Fax: 336-553-3994 | |
Cori Norman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 478-972-9348 | |
Carol Jane Aycock, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-891-9131 Fax: 229-891-9079 |