| Jenny R Deforeest, CRNA | |
|
1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144-7038 | |
| (678) 202-2074 | |
| (678) 290-0479 |
| Full Name | Jenny R Deforeest |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 1640 Airport Rd Nw, Kennesaw, Georgia |
| 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 |
|---|---|---|---|
| 1245369784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 020068 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wooster Community Hospital | Wooster, OH | Hospital |
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Ohio Anesthesia Group, Inc | 9537222138 | 91 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny R Deforeest, CRNA 1984 Peachtree Rd Nw, Ste. 515, Atlanta, GA 30309-5219 Ph: (404) 351-1754 | Jenny R Deforeest, CRNA 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144-7038 Ph: (678) 202-2074 |
Laura Uphouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Daisy Tambe Jean-pierre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Katelyn E Longacre, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 Fax: 770-693-0810 | |
Lauren Turley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152 Phone: 404-542-0285 | |
Paul Christopher Dozier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 | |
Sarah Jordan Kabase, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 |