| Laura Ann Reichwald, CRNA | |
|
1455 Montreal Rd, Tucker, GA 30084-8100 | |
| (865) 985-7253 | |
| Not Available |
| Full Name | Laura Ann Reichwald |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1455 Montreal Rd, Tucker, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588601363 | NPI | - | NPPES |
| RN051371 | Other | GA | APN |
| N347264 | Other | GA | WELLCARE |
| P00245095 | Other | RAILROAD MEDICARE | |
| 000550228D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 051371 (Georgia) | Primary |
| Entity Name | Northlake Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031 |
| Entity Name | Advanced Urology Institute Of Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073896510 PECOS PAC ID: 1759552607 Enrollment ID: O20110926000393 |
| Entity Name | Advanced Urology Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215365242 PECOS PAC ID: 8729218417 Enrollment ID: O20140225000485 |
| Entity Name | Advanced Gynecology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093296824 PECOS PAC ID: 0143568634 Enrollment ID: O20190207001589 |
| Entity Name | Radius Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
| Entity Name | Anesthesia Services Of Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124657465 PECOS PAC ID: 6406252949 Enrollment ID: O20210908001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Ann Reichwald, CRNA Po Box 932925, Atlanta, GA 31193-2925 Ph: (800) 364-9216 | Laura Ann Reichwald, CRNA 1455 Montreal Rd, Tucker, GA 30084-8100 Ph: (865) 985-7253 |
Kimberly E Howard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1455 Montreal Rd, Tucker, GA 30084 Phone: 404-251-3000 | |
Katie T Cole, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1455 Montreal Rd, Tucker, GA 30084 Phone: 404-251-3000 |