| Lisa F Goedert, CRNA | |
|
410 Darling Ave, Waycross, GA 31501-5246 | |
| (912) 338-6511 | |
| (336) 553-3994 |
| Full Name | Lisa F Goedert |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 410 Darling Ave, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730156381 | NPI | - | NPPES |
| P00352168 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN131307 (Georgia) | Primary |
| Entity Name | Bacon County Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629185285 PECOS PAC ID: 1850294034 Enrollment ID: O20040127001164 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa F Goedert, CRNA Po Box 18824, Greensboro, NC 27419-8824 Ph: (336) 553-1659 | Lisa F Goedert, CRNA 410 Darling Ave, Waycross, GA 31501-5246 Ph: (912) 338-6511 |
Harriet L Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 336-553-1659 Fax: 336-553-3994 | |
Mrs. Mary A Justyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Anthony Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Ms. Mary Carolyn Linder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Deanna Holland Powell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Andy M Martin, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 |