| Karen M Sheppard, CRNA | |
|
1120 15th St, Room 2144, Augusta, GA 30912-0004 | |
| (706) 721-3873 | |
| (706) 721-7763 |
| Full Name | Karen M Sheppard |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649341181 | NPI | - | NPPES |
| 293687837H | Medicaid | GA | |
| 339310 | Other | GA | WELLCARE CMO |
| 293687837G | Medicaid | GA | |
| GAN534 | Medicaid | SC | |
| P00319633 | Other | GA | RRMEDICARE |
| 550789920 | Other | GA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN172576 (Georgia) | Primary |
| Entity Name | Au Medical Associates Anesthesia Billing Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen M Sheppard, CRNA Po Box 28068, Chattanooga, TN 37424-8068 Ph: (877) 899-1033 | Karen M Sheppard, CRNA 1120 15th St, Room 2144, Augusta, GA 30912-0004 Ph: (706) 721-3873 |
John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 |
Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |
Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 |
Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |
Lindsey Pettis, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9558 |
Lisa Smith Ray, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2260 Wrightsboro Rd, Augusta, GA 30904 Phone: 803-240-4957 |
Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 |