| Ann Marie Chalker, CRNA | |
|
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
| (912) 538-5359 | |
| (912) 538-5228 |
| Full Name | Ann Marie Chalker |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1 Meadows Pkwy, Vidalia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972783546 | NPI | - | NPPES |
| 775566507A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN-CRNA129249 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Se Georgia Anesthesia, Llc | 8426466137 | 106 |
| Entity Name | Rg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
| 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 | Se Georgia Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Marie Chalker, CRNA Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5359 | Ann Marie Chalker, CRNA 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5359 |
Shannon Lacey Staten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 | |
Brandon Reeves Blount, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 535-912-5894 | |
Daniel Tyler Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228 | |
Damon Keith Jessup, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228 | |
Timothy Roose, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: One Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 |