| Dr Raequon Jones, CRNA | |
|
3170 Kincaid Dr, Decatur, GA 30033-8302 | |
| (678) 361-4065 | |
| Not Available |
| Full Name | Dr Raequon Jones |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3170 Kincaid Dr, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740001148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN269529 (Georgia) | Primary |
| Entity Name | Primary Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427640317 PECOS PAC ID: 1456768662 Enrollment ID: O20210405001643 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raequon Jones, CRNA 3170 Kincaid Dr, Decatur, GA 30033-8302 Ph: (678) 361-4065 | Dr Raequon Jones, CRNA 3170 Kincaid Dr, Decatur, GA 30033-8302 Ph: (678) 361-4065 |
Samantha Wisner Valentini, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2551 Wilson Woods Dr, Decatur, GA 30033 Phone: 770-757-0131 | |
Sara Stelling Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Ron I Mcdaniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Dorothy Blue Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Christine Hoefling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Oleg Giren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Natacha Simon-christie, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-778-7408 Fax: 404-778-3238 |