| Stephen Derek Smith, CRNA | |
|
80 Newnan Station Drive, Suite A, Newnan, GA 30265 | |
| (770) 251-2060 | |
| (678) 854-9235 |
| Full Name | Stephen Derek Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 80 Newnan Station Drive, Suite A, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639182553 | NPI | - | NPPES |
| 52267829-002 | Other | GA | BLUE CROSS BLUE SHIELD |
| 9975585 | Other | GA | UNIVERSAL HEALTHCARE |
| 156961100 | Other | GA | U.S. DEPT. OF LABOR |
| 20-02624 | Other | GA | UNITED HEALTHCARE |
| P00296749 | Other | GA | RAIL ROAD MEDICARE |
| 000550338G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN076030 (Georgia) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Derek Smith, CRNA Po Box 73709, Newnan, GA 30271-3709 Ph: (770) 251-2060 | Stephen Derek Smith, CRNA 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Ph: (770) 251-2060 |
Rebecca Ryan Bunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Caitlin Craig Lofaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-744-4809 | |
Timothy Joseph Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr, Suite A, Newnan, GA 30265 Phone: 770-251-2060 | |
Taylor Michelle Courtner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Mr. Paul L Duso, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
David Laguardia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Shannon Lynn Stansell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 |