| John Gary Wooley Ii, CRNA | |
|
1320 Madison Ave S, #145, Douglas, GA 31533-4417 | |
| (850) 251-2511 | |
| Not Available |
| Full Name | John Gary Wooley Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1320 Madison Ave S, Douglas, 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 |
|---|---|---|---|
| 1760450316 | NPI | - | NPPES |
| G3981 | Other | FL | BCBS OF FL |
| 307649100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN195551 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP3283962 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| John Gary Wooley Ii, CRNA 1320 Madison Ave S, #145, Douglas, GA 31533-4417 Ph: () - | John Gary Wooley Ii, CRNA 1320 Madison Ave S, #145, Douglas, GA 31533-4417 Ph: (850) 251-2511 |
Sarah Mercedes Briceno, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 | |
Stuart Jackson O'steen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 | |
Patricia Dale Collins-young, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 |