| Kimberle J Hickey, CRNA | |
|
201 Hospital Rd, Anesthesia Department, Canton, GA 30114-2408 | |
| (404) 851-6500 | |
| (770) 237-1124 |
| Full Name | Kimberle J Hickey |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 201 Hospital Rd, Canton, 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 |
|---|---|---|---|
| 1598734675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN147449 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberle J Hickey, CRNA Po Box 465686, Lawrenceville, GA 30042-5686 Ph: (770) 237-1561 | Kimberle J Hickey, CRNA 201 Hospital Rd, Anesthesia Department, Canton, GA 30114-2408 Ph: (404) 851-6500 |
Morgan Maeger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1032 Forest Creek Dr, Canton, GA 30115 Phone: 770-367-3955 | |
Brent H. Suddeth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
Khushbu Modi, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 276 Harmony Lake Dr, Canton, GA 30115 Phone: 404-488-5590 | |
Carla D Porche, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
James Michael Rutherford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Dino Kattato, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 130 East Main Street, Suite 200, Canton, GA 30114 Phone: 808-408-0200 | |
Marni Elizabeth Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 |