Trey S Burg, CRNA | |
126 Hospital Ave, Ozark, AL 36360-2018 | |
(334) 793-8087 | |
(334) 793-8191 |
Full Name | Trey S Burg |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 126 Hospital Ave, Ozark, 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 |
---|---|---|---|
1902863657 | NPI | - | NPPES |
009940555 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-084876 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Enterprise | Enterprise, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dale Medical Center | 3476466327 | 21 |
Epix Anesthesia Of Alabama Llc | 8022300748 | 33 |
Ambulatory Management Llc | 9436501178 | 8 |
Entity Name | Dale Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538275342 PECOS PAC ID: 3476466327 Enrollment ID: O20031107000202 |
Entity Name | Epix Anesthesia Of Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
Entity Name | Veronox Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669951604 PECOS PAC ID: 0143572891 Enrollment ID: O20181009000934 |
Entity Name | Community Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
Entity Name | Ambulatory Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003690744 PECOS PAC ID: 9436501178 Enrollment ID: O20240118002640 |
Mailing Address | Practice Location Address |
---|---|
Trey S Burg, CRNA 126 Hospital Ave, Ozark, AL 36360-2018 Ph: (334) 793-8087 | Trey S Burg, CRNA 126 Hospital Ave, Ozark, AL 36360-2018 Ph: (334) 793-8087 |
Richard E Lucky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Hospital Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191 |