| Mrs Mary A Justyn, CRNA | |
|
1900 Tebeau St, Waycross, GA 31501-6357 | |
| (912) 338-6511 | |
| (912) 338-6512 |
| Full Name | Mrs Mary A Justyn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 1900 Tebeau St, Waycross, 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 |
|---|---|---|---|
| 1275655987 | NPI | - | NPPES |
| 000941817D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9183190 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Regional Medical Center | Hinesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Entity Name | Southeast Georgia Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265518849 PECOS PAC ID: 8426057969 Enrollment ID: O20061212000148 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Patriot Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952840449 PECOS PAC ID: 0840577888 Enrollment ID: O20170501001250 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary A Justyn, CRNA 1888 Gardenia St, Fernandina Beach, FL 32034-1908 Ph: (904) 261-7115 | Mrs Mary A Justyn, CRNA 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 338-6511 |
Harriet L Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 336-553-1659 Fax: 336-553-3994 | |
Anthony Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Ms. Mary Carolyn Linder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Deanna Holland Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Lisa F Goedert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Andy M Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 |