| Genie A Boles, CRNA | |
|
3316 Highway 280, Alexander City, AL 35010-3369 | |
| (256) 329-7120 | |
| (256) 329-7600 |
| Full Name | Genie A Boles |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 3316 Highway 280, Alexander City, Alabama |
| 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 |
|---|---|---|---|
| 1013937952 | NPI | - | NPPES |
| 51035245 | Other | AL | BLUE CROSS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1046766 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell Medical Center | Alexander city, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Lake Health Alabama, Llc | 8325415375 | 18 |
| Entity Name | Russell Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811913460 PECOS PAC ID: 6406754431 Enrollment ID: O20040109000579 |
| Entity Name | Blue Lake Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Genie A Boles, CRNA 1452 River Oaks Dr, Jacksons Gap, AL 36861-3126 Ph: (256) 825-0338 | Genie A Boles, CRNA 3316 Highway 280, Alexander City, AL 35010-3369 Ph: (256) 329-7120 |
Mary C. Forbus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 256-329-7600 | |
Robyn P. Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 205-989-1087 | |
Kristen Mcdaniel Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7146 | |
Renee Payne Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7100 | |
Phyllis A Pemberton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 256-329-7600 | |
Carrie Granger Wilder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7100 |