Walter Jason Smith, CRNA | |
1635 Old 41 Hwy Nw, Kennesaw, GA 30152-4480 | |
(870) 530-0081 | |
Not Available |
Full Name | Walter Jason Smith |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 1635 Old 41 Hwy Nw, Kennesaw, 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 |
---|---|---|---|
1578923355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN185136 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Entity Name | Mak Anesthesia Cobb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699045070 PECOS PAC ID: 7810154960 Enrollment ID: O20120201000868 |
Entity Name | Mak Anesthesia, Nw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609202720 PECOS PAC ID: 4880820315 Enrollment ID: O20131111001715 |
Entity Name | Mak Anesthesia Decatur Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720409147 PECOS PAC ID: 8224261433 Enrollment ID: O20140423001687 |
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 | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Mailing Address | Practice Location Address |
---|---|
Walter Jason Smith, CRNA 1635 Old 41 Hwy Nw, Kennesaw, GA 30152-4480 Ph: () - | Walter Jason Smith, CRNA 1635 Old 41 Hwy Nw, Kennesaw, GA 30152-4480 Ph: (870) 530-0081 |
Laura Uphouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Daisy Tambe Jean-pierre, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Katelyn E Longacre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 Fax: 770-693-0810 | |
Jenny R Deforeest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Dr. Olivier Mba, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3869 Brentview Pl Nw, Kennesaw, GA 30144 Phone: 678-333-1944 | |
Lauren Turley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152 Phone: 404-542-0285 | |
Paul Christopher Dozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 |