| Patricia Dale Collins-young, CRNA | |
|
1101 Ocilla Rd, Douglas, GA 31533-2207 | |
| (800) 232-5703 | |
| Not Available |
| Full Name | Patricia Dale Collins-young |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1101 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619933975 | NPI | - | NPPES |
| 000776036E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN-CRNA050943 (Georgia) | Primary |
| Entity Name | Coffee Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
| Entity Name | Hospital Authority Of Jeff Davis County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912902263 PECOS PAC ID: 4981692472 Enrollment ID: O20040504000404 |
| Entity Name | Irwin County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720098791 PECOS PAC ID: 7618950643 Enrollment ID: O20040610001257 |
| Entity Name | Irwin County Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275754103 PECOS PAC ID: 8426109588 Enrollment ID: O20090630000646 |
| Entity Name | Guardian Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
| Entity Name | Southern Sleepers Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720520646 PECOS PAC ID: 3870876469 Enrollment ID: O20170206000613 |
| Entity Name | Lala Land Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093242422 PECOS PAC ID: 1254602733 Enrollment ID: O20170801003166 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Dale Collins-young, CRNA 210 Camellia Ave, Douglas, GA 31533-3276 Ph: (912) 381-7595 | Patricia Dale Collins-young, CRNA 1101 Ocilla Rd, Douglas, GA 31533-2207 Ph: (800) 232-5703 |
Sarah Mercedes Briceno, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 | |
Stuart Jackson O'steen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 800-232-5703 | |
John Gary Wooley Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1320 Madison Ave S, #145, Douglas, GA 31533 Phone: 850-251-2511 |