| Dr Crystal Lenay Mack, CRNA | |
|
677 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 794-0477 | |
| Not Available |
| Full Name | Dr Crystal Lenay Mack |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 677 Church St Ne, Marietta, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386216935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN258358 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN258368 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Georgia Llc | 6608123724 | 53 |
| Entity Name | Premier Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal Lenay Mack, CRNA 1314 Valley View Rd, Atlanta, GA 30338-4823 Ph: (313) 641-9942 | Dr Crystal Lenay Mack, CRNA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Mario Torres-nieves, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 | |
Mr. Wesley Eric Karcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735 | |
Jack Neil Kendrick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw Ste 100, Marietta, GA 30060 Phone: 404-888-7590 | |
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356 | |
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |