| Mary Lillian Nall, CRNA | |
|
1601 Watson Blvd, Warner Robins, GA 31093-3431 | |
| (478) 329-0051 | |
| Not Available |
| Full Name | Mary Lillian Nall |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1601 Watson Blvd, Warner Robins, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396709606 | NPI | - | NPPES |
| 369270 | Other | GA | STATE MERIT |
| 668512625A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN097904 (Georgia) | Primary |
| Entity Name | Robins Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154392660 PECOS PAC ID: 1052207792 Enrollment ID: O20040227000514 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Irwin County Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275754103 PECOS PAC ID: 8426109588 Enrollment ID: O20090630000646 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lillian Nall, CRNA Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450 | Mary Lillian Nall, CRNA 1601 Watson Blvd, Warner Robins, GA 31093-3431 Ph: (478) 329-0051 |
Curtis Clayton Howell Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 Corder Rd, Warner Robins, GA 31088 Phone: 478-322-4100 | |
Ronald D Griffin Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093 Phone: 478-922-9937 | |
Amanda R. Adams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093 Phone: 478-329-0051 Fax: 334-279-1660 | |
Dalton Nicholas Gilliam, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 Sunnydale Dr, Warner Robins, GA 31088 Phone: 478-957-8412 | |
Marc A Phagan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093 Phone: 478-329-0051 | |
Carmen E Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093 Phone: 800-232-5703 Fax: 334-395-4110 |