| Mrs Katherine Atkinson Mann, | |
|
11 Overview Dr, Blue Ridge, GA 30513-6611 | |
| (706) 258-4040 | |
| (706) 258-4041 |
| Full Name | Mrs Katherine Atkinson Mann |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 11 Overview Dr, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538230420 | NPI | - | NPPES |
| 00481863B | Medicaid | GA | |
| 10039402 | Other | GA | AMERIGROUP |
| 430028175 | Other | GA | RAILROAD MEDICARE |
| 4600549 | Medicaid | TN | |
| 8050156 | Medicaid | NC | |
| 342304 | Other | GA | WELLCARE |
| 52054224-001 | Other | GA | BLUE CROSS GEORGIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN040017 (Georgia) | Primary |
| Entity Name | Innovative Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326706763 PECOS PAC ID: 9931594942 Enrollment ID: O20220309001952 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Atkinson Mann, Po Box 69, Blue Ridge, GA 30513-0002 Ph: (706) 258-4040 | Mrs Katherine Atkinson Mann, 11 Overview Dr, Blue Ridge, GA 30513-6611 Ph: (706) 258-4040 |
Kimberly Lynn Cowan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-632-3711 | |
Ann G Rymer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11 Overview Dr, Blue Ridge, GA 30513 Phone: 706-258-4040 Fax: 706-258-4041 | |
Mrs. Cynthia Lee Griffith, RN, MHS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-946-4206 Fax: 706-946-4430 | |
Patricia T Holder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11 Overview Dr, Blue Ridge, GA 30513 Phone: 706-258-4040 Fax: 706-258-4041 |