| Elizabeth Jan Gillespie, CRNA | |
|
3079 Peachtree Industrial Blvd, Duluth, GA 30097-2215 | |
| (800) 945-6133 | |
| (678) 546-3606 |
| Full Name | Elizabeth Jan Gillespie |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3079 Peachtree Industrial Blvd, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861449787 | NPI | - | NPPES |
| G3438 | Other | FL | BCBS |
| 009982125 | Medicaid | AL | |
| 59173332 | Other | AL | BCBS |
| P00175638 | Other | PALMETTO GBA-RR MEDICARE | |
| 59173333 | Other | AL | BCBS |
| 306793900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9208292 (Florida) | Primary |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Physicians Surgery Center Of Chattanooga Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164589032 PECOS PAC ID: 8527072115 Enrollment ID: O20060202000955 |
| Entity Name | Amsurg Hermitage Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538583042 PECOS PAC ID: 7315160793 Enrollment ID: O20140604000239 |
| Entity Name | Prime Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649745225 PECOS PAC ID: 3375881279 Enrollment ID: O20190220000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Jan Gillespie, CRNA 3090 Cobblestone Dr, Pace, FL 32571-8425 Ph: (850) 995-6193 | Elizabeth Jan Gillespie, CRNA 3079 Peachtree Industrial Blvd, Duluth, GA 30097-2215 Ph: (800) 945-6133 |
Ms. Irene S. Nicholas, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6325 W Johns Xing, Duluth, GA 30097 Phone: 404-778-8311 Fax: 404-495-1585 | |
Ms. Adrenne M Wygonik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Healthcare Partners/hbl Anesthesia Services, Duluth, GA 30097 Phone: 678-713-5847 Fax: 770-945-5960 | |
Marla Autry Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Dept., Duluth, GA 30097 Phone: 800-945-6133 | |
Kristin Dortch, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy Ste Ll17, Duluth, GA 30097 Phone: 404-778-8311 | |
Brandon P Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Pkwy, Duluth, GA 30097 Phone: 678-474-7000 | |
Andrea Baker, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8000 Fax: 404-785-8001 | |
Imani Harriott, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Duluth, GA 30097 Phone: 404-778-8311 |