| Nyala Becky Azangue, | |
|
5126 Hospital Dr Ne, Covington, GA 30014-2566 | |
| (404) 428-0608 | |
| Not Available |
| Full Name | Nyala Becky Azangue |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 5126 Hospital Dr Ne, Covington, 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 |
|---|---|---|---|
| 1013785146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN230501 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| 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 | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Nyala Becky Azangue, 3778 Broadleaf Walk, Snellville, GA 30039-6052 Ph: (404) 428-0608 | Nyala Becky Azangue, 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (404) 428-0608 |
Dexter Cicero Poss, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 | |
Fuquan Carl Beeks, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 | |
Lori Hatchitt, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 | |
Kathleen Hurlbut Gangl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 | |
Dadonna M Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 Fax: 770-478-2908 |