| Blake Alan Mcdonald, CRNA | |
|
1325 Spring St, Greenwood, SC 29646-3860 | |
| (864) 725-4671 | |
| Not Available |
| Full Name | Blake Alan Mcdonald |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1325 Spring St, Greenwood, South Carolina |
| 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 |
|---|---|---|---|
| 1841477163 | NPI | - | NPPES |
| AN2886 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28637 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN164337 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Of Augusta Llc | 6204905763 | 68 |
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Anesthesia Consultants Of Augusta Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881877793 PECOS PAC ID: 6204905763 Enrollment ID: O20080523000204 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Anesthesia Care Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20151103001846 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Alan Mcdonald, CRNA 971 Emmett Young Rd, Newnan, GA 30263-5118 Ph: (404) 877-2639 | Blake Alan Mcdonald, CRNA 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4671 |
Susan Striegel-edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Cody Michael Nye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Karen Marie Tolley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Mrs. Mary Parks Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Todd Paul Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Travis Shoop, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Nathaniel Lever, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 |