| Dr Michele Marie Ballister, DNP APRN CRNA CHSE | |
|
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
| (706) 822-1411 | |
| Not Available |
| Full Name | Dr Michele Marie Ballister |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1514 Vernon Rd, Lagrange, 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 |
|---|---|---|---|
| 1003054586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 289363 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3758 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Eastern Maine Medical Center | 2062315161 | 596 |
| 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 |
|---|---|
| Dr Michele Marie Ballister, DNP APRN CRNA CHSE Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838 | Dr Michele Marie Ballister, DNP APRN CRNA CHSE 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 822-1411 |
Susan L Braddy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Pamela G Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 | |
Hannah Smith James, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-436-7376 | |
Mr. Brian Scott Vickery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Jared K Angstadt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |