| Frederick D Adams, CRNA | |
|
1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | |
| (843) 339-2100 | |
| Not Available |
| Full Name | Frederick D Adams |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 1304 W Bobo Newsom Hwy, Hartsville, South Carolina |
| 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 |
|---|---|---|---|
| 1003859927 | NPI | - | NPPES |
| AN1125 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R88316 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-georgia Anesthesia Pc | 6901331339 | 19 |
| Entity Name | Cobb Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811137128 PECOS PAC ID: 8921157074 Enrollment ID: O20090519000601 |
| Entity Name | Vituity-georgia Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356190888 PECOS PAC ID: 6901331339 Enrollment ID: O20241122000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick D Adams, CRNA 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 Ph: (843) 339-2100 | Frederick D Adams, CRNA 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 Ph: (843) 339-2100 |
Joyce L Leatherman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 | |
Daniel Farmer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-449-2100 | |
Mr. Adam Keith Gwinn, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-861-2548 | |
Edwin H Goranson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 | |
Roy Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 866-214-8600 Fax: 678-888-0390 | |
Gregory S Oswald, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-2100 Fax: 843-339-4899 |