| Lyle Chaney Dorman, CRNA | |
|
200 Industrial Blvd, Dublin, GA 31021-2981 | |
| (478) 275-2000 | |
| Not Available |
| Full Name | Lyle Chaney Dorman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 200 Industrial Blvd, Dublin, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912951278 | NPI | - | NPPES |
| 618336666B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN149260 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Park Hospital | Dublin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170612001582 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle Chaney Dorman, CRNA 108 Cedar Creek Dr, Dublin, GA 31021-4200 Ph: (478) 697-1054 | Lyle Chaney Dorman, CRNA 200 Industrial Blvd, Dublin, GA 31021-2981 Ph: (478) 275-2000 |
Aaron Todd Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 478-275-2000 | |
Erin Claxton Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 386-868-3623 | |
Sue Avery Gentry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 Bellevue Rd Ste 22, Dublin, GA 31021 Phone: 478-275-4740 | |
Mr. David Howard Gorney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 22, Dublin, GA 31021 Phone: 478-275-4032 Fax: 478-275-0533 | |
Donna Marie Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 478-275-2000 | |
Mr. Henry C Ballance, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 206 Fairfield Ct, Dublin, GA 31021 Phone: 478-274-8289 Fax: 478-274-8289 | |
Ansley Brantley Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd, Dublin, GA 31021 Phone: 478-275-2000 |