| Deanna Holland Powell, CRNA | |
|
1900 Tebeau St, Waycross, GA 31501-6357 | |
| (912) 338-6511 | |
| (912) 338-6512 |
| Full Name | Deanna Holland Powell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 1900 Tebeau St, Waycross, 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 |
|---|---|---|---|
| 1639146830 | NPI | - | NPPES |
| 534720281C | Medicaid | GA | |
| P00352166 | Other | GA | RR MEDICARE INDIVIDUAL |
| 534720281B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN140357 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bacon County Hospital | Alma, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bacon County Health Services, Inc. | 1850294034 | 6 |
| Entity Name | Bacon County Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629185285 PECOS PAC ID: 1850294034 Enrollment ID: O20040127001164 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Holland Powell, CRNA Po Box 73709, Newnan, GA 30271-3709 Ph: (770) 251-2060 | Deanna Holland Powell, CRNA 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 338-6511 |
Harriet L Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 336-553-1659 Fax: 336-553-3994 | |
Mrs. Mary A Justyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Anthony Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Ms. Mary Carolyn Linder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Lisa F Goedert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Andy M Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 |