| Michelle Hudson Wiwi, CRNA | |
|
3000 Hospital Blvd, Roswell, GA 30076-4915 | |
| (770) 751-2500 | |
| Not Available |
| Full Name | Michelle Hudson Wiwi |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 3000 Hospital Blvd, Roswell, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427606466 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| 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 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Hudson Wiwi, CRNA 3586 Candlewood Trl Ne, Marietta, GA 30066-4573 Ph: (850) 322-5999 | Michelle Hudson Wiwi, CRNA 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2500 |
Madge Evans Moon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627 | |
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 |