| Juanita Marie Maanum, | |
|
1200 Memorial Dr, Dalton, GA 30720-2529 | |
| (706) 272-6000 | |
| Not Available |
| Full Name | Juanita Marie Maanum |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1200 Memorial Dr, Dalton, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659568103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1107152 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Group Services, Llc | 0840338018 | 50 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Marie Maanum, 1419 Chattanooga Ave, Ste 4, Dalton, GA 30720-2642 Ph: (706) 259-4435 | Juanita Marie Maanum, 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 272-6000 |
Jamie Isaac Tew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Christie Faye Cox, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Jennifer Lee Allen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Samantha Griffin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-271-0100 | |
Morgan Eddy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Jerry Alan Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Drive, Anesthesia Associates Of Dalton, Dalton, GA 30720 Phone: 706-272-6000 | |
Rachel M Hartwell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-259-4435 |