| Madge Evans Moon, CRNA | |
|
3000 Hospital Blvd, Roswell, GA 30076-4915 | |
| (770) 751-2623 | |
| (770) 751-2627 |
| Full Name | Madge Evans Moon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 3000 Hospital Blvd, Roswell, 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 |
|---|---|---|---|
| 1215917976 | NPI | - | NPPES |
| 000924712D | Medicaid | GA | |
| 000924712E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN153489 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN1305 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | 6204744600 | 599 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Madge Evans Moon, CRNA Po Box 105048, Atlanta, GA 30348-5048 Ph: (770) 751-2623 | Madge Evans Moon, CRNA 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2623 |
Lina Nmn Cline, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 Park East Dr, Roswell, GA 30075 Phone: 678-523-4000 | |
Dr. Sydney Mara Suss, DNP CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500 | |
Shannon Woodall Betsill, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676 Fax: 678-762-7980 | |
Roger Lee Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Anesthesia Dept., Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627 | |
Mitchael Lee Vickers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676 | |
Patricia Amirault Crowder, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500 Fax: 770-751-2609 |