| Mr Brian Scott Vickery, CRNA | |
|
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
| (706) 882-1411 | |
| (706) 845-3459 |
| Full Name | Mr Brian Scott Vickery |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1514 Vernon Rd, Lagrange, 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 |
|---|---|---|---|
| 1588986335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN204160 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| Morganton Anesthesia Partners, Pllc | 7416357801 | 39 |
| Entity Name | Colquitt Regional Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154580512 PECOS PAC ID: 2860563665 Enrollment ID: O20080623000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Scott Vickery, CRNA 3025 Highway 154, Bldg B, Newnan, GA 30265-6121 Ph: (770) 251-2060 | Mr Brian Scott Vickery, CRNA 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
Dr. Michele Marie Ballister, DNP APRN CRNA CHSE Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-822-1411 | |
Susan L Braddy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-845-3459 | |
Pamela G Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 | |
Hannah Smith James, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-436-7376 | |
Jared K Angstadt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |