| Mrs Laura A Gullicksen, CRNA | |
|
6325 W Johns Xing, Johns Creek, GA 30097-5746 | |
| (404) 778-8311 | |
| (770) 495-1585 |
| Full Name | Mrs Laura A Gullicksen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 6325 W Johns Xing, Johns Creek, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356523161 | NPI | - | NPPES |
| 00834094A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN144532 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laura A Gullicksen, CRNA 4935 Savannah Run, Cumming, GA 30040-0280 Ph: (678) 549-1681 | Mrs Laura A Gullicksen, CRNA 6325 W Johns Xing, Johns Creek, GA 30097-5746 Ph: (404) 778-8311 |
Sheila M Hanley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy Ste 111, Attn: Credentialing Dept., Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Jacqueline Yoars, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Suite 304, Johns Creek, GA 30097 Phone: 404-778-8317 | |
Lorri R. South, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097 Phone: 770-712-4616 Fax: 770-495-1585 | |
Mona M Kobernus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Mrs. Emily Ramnarine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 678-474-7000 | |
Alicia J Weissgerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste Ll17, Johns Creek, GA 30097 Phone: 404-778-8323 Fax: 770-495-1585 |