William Enrique Agudelo, CRNA | |
380 Hospital Drive, Suite 410, Macon, GA 31217-8014 | |
(478) 746-5644 | |
(478) 745-4849 |
Full Name | William Enrique Agudelo |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 380 Hospital Drive, Macon, 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 |
---|---|---|---|
1174512602 | NPI | - | NPPES |
AN1387 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APN2487 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN092922 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Of Peach County, Navicent Health | Byron, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Anesthesia Llc | 0345579876 | 14 |
Sweet Dreams Anesthesiology Nurses Of Georgia Llc | 0941456446 | 15 |
Overwatch Anesthesia | 3678949146 | 45 |
Synergy Anesthesiology Inc | 4385781954 | 8 |
Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
Entity Name | Synergy Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
Entity Name | Nmda Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
Entity Name | Sweet Dreams Nurse Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891005989 PECOS PAC ID: 1658568621 Enrollment ID: O20120525000211 |
Entity Name | Sweet Dreams Anesthesiology Nurses Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669737409 PECOS PAC ID: 0941456446 Enrollment ID: O20120816000621 |
Entity Name | Sweet Dreams Nurse Anesthesia Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003168923 PECOS PAC ID: 7719138353 Enrollment ID: O20121108000271 |
Entity Name | Grand Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689230724 PECOS PAC ID: 0345579876 Enrollment ID: O20190910000358 |
Entity Name | Radiance Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
Entity Name | Vision Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20210428000240 |
Entity Name | Overwatch Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20221025001644 |
Mailing Address | Practice Location Address |
---|---|
William Enrique Agudelo, CRNA Po Box 2564, Macon, GA 31203-2565 Ph: (478) 746-5644 | William Enrique Agudelo, CRNA 380 Hospital Drive, Suite 410, Macon, GA 31217-8014 Ph: (478) 746-5644 |
Virginia Garrison Crouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Angela D Jenkins I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Richard A Scherer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Demetra D Mcglothin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Mr. Keath L. Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Kelli Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Rickey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 |