| Ellis Lamar Wynn Iv, CRNA | |
|
1139 Picket Fence Dr, Evans, GA 30809-9158 | |
| (229) 854-9517 | |
| Not Available |
| Full Name | Ellis Lamar Wynn Iv |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1139 Picket Fence Dr, Evans, 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 |
|---|---|---|---|
| 1801625421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN286537 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 267591 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Billings Clinic | 6002993516 | 815 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Lamar Wynn Iv, CRNA 1636 S Castle Stone Sq, Billings, MT 59106-9724 Ph: (229) 854-9517 | Ellis Lamar Wynn Iv, CRNA 1139 Picket Fence Dr, Evans, GA 30809-9158 Ph: (229) 854-9517 |
Mrs. Christine Leigh Futch Pickrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 Pond View Rd, Evans, GA 30809 Phone: 706-284-3163 | |
Justin Paul Thompson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2028 Egret Cir, Evans, GA 30809 Phone: 706-306-0422 | |
Mr. Darrell Ragan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Full Circle Dr, Evans, GA 30809 Phone: 706-631-9979 | |
Emma Collom, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4211 Aerie Cir, Evans, GA 30809 Phone: 912-506-4435 | |
Lori Marie Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4090 Eagle Nest Dr, Evans, GA 30809 Phone: 706-836-0246 |