| Mr Jerry Ryan Welborn, CRNA | |
|
8375 Highway 72 W, Madison, AL 35758-9573 | |
| (205) 265-2012 | |
| Not Available |
| Full Name | Mr Jerry Ryan Welborn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 8375 Highway 72 W, Madison, Alabama |
| 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 |
|---|---|---|---|
| 1952335572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R862001 (Mississippi) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-134799 (Alabama) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oxford Anesthesia Group | 2668801218 | 2 |
| Entity Name | Willow Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
| Entity Name | Oxford Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093348351 PECOS PAC ID: 2668801218 Enrollment ID: O20200401003131 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Ryan Welborn, CRNA Po Box 2045, Meridian, MS 39302-2045 Ph: (662) 380-3513 | Mr Jerry Ryan Welborn, CRNA 8375 Highway 72 W, Madison, AL 35758-9573 Ph: (205) 265-2012 |
David C Celeski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Hannah Elizabeth Gallant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8375 Highway 72 W, Madison, AL 35758 Phone: 256-265-1000 | |
Jordan-noel Breeon Henderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8375 Highway 72 W, Madison, AL 35758 Phone: 256-265-2012 | |
Stephanie Bussman, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8375 Highway 72 W, Madison, AL 35758 Phone: 256-265-2012 | |
Sherry Kay Watson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Crissey V Watkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 460 Lanier Rd, Madison, AL 35758 Phone: 256-319-9000 | |
Mr. Jeremy Brian Cushing, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 104 Intracoastal Dr, Madison, AL 35758 Phone: 256-881-4844 |