| Nancy Miyumo Ogendo, CRNA | |
|
3950 Austell Rd, Austell, GA 30106-1121 | |
| (770) 674-8626 | |
| (770) 732-5182 |
| Full Name | Nancy Miyumo Ogendo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 3950 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528458270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN232091 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Miyumo Ogendo, CRNA 1635 Old 41 Hwy Nw Ste 112-328, Kennesaw, GA 30152-4480 Ph: (770) 674-8626 | Nancy Miyumo Ogendo, CRNA 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 674-8626 |
Paul P Serdula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Grace A Langley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Stacy Harrison Bradfield, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3870 Medical Park Dr, Ste 110, Austell, GA 30106 Phone: 770-948-6824 | |
Taylor Armstead, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-702-1806 | |
Melissa T Clinkscales, PAAA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Miss Tiffany Leeann Townsend, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-702-1806 | |
Carmen Nicole Simmons, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3648 |