| Daniel Ty Sumner, | |
|
2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | |
| (770) 643-5619 | |
| Not Available |
| Full Name | Daniel Ty Sumner |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 2655 Northwinds Pkwy, Alpharetta, 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 |
|---|---|---|---|
| 1801540778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-155060 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Prattville Baptist Hospital | Prattville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Montgomery Pc | 5799684148 | 80 |
| Entity Name | Premier Anesthesia Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ty Sumner, 164 Lee Road 148, Opelika, AL 36804-8510 Ph: () - | Daniel Ty Sumner, 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (770) 643-5619 |
Rae Wood Grimsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Joshua A Getzinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Shelby Pope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Monica E Burrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 770-645-9181 Fax: 770-645-8455 | |
Tyrena Burroughs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Roviena J Royulada-ycu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 | |
Corey Colley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619 |