| Audrey Donna Ghatas, CRNA | |
|
300 3rd Ave Se, Magee, MS 39111-3665 | |
| (601) 849-7173 | |
| (601) 849-7353 |
| Full Name | Audrey Donna Ghatas |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 300 3rd Ave Se, Magee, Mississippi |
| 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 |
|---|---|---|---|
| 1508960295 | NPI | - | NPPES |
| 00110086 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R125620 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Wesley | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Pllc | 0941347447 | 126 |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Entity Name | Southern Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780025767 PECOS PAC ID: 7214163724 Enrollment ID: O20131111001145 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20141015000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Donna Ghatas, CRNA Po Box 669, Mount Olive, MS 39119-0669 Ph: (601) 466-3601 | Audrey Donna Ghatas, CRNA 300 3rd Ave Se, Magee, MS 39111-3665 Ph: (601) 849-7173 |
Mr. David J Ware Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 2nd Street Se, Magee, MS 39111 Phone: 601-849-5070 | |
Tracie A Abplanalp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 3rd Ave Se, Magee, MS 39111 Phone: 601-849-7303 |