| Theodore Mcmullen Iii, CRNA | |
|
616 19th St, Columbus, GA 31901-1528 | |
| (706) 494-4262 | |
| Not Available |
| Full Name | Theodore Mcmullen Iii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 616 19th St, Columbus, 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 |
|---|---|---|---|
| 1346314689 | NPI | - | NPPES |
| 073260 | Other | GA | AANA CERT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN186965 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cullman Regional Anesthesia Services Llc | 2466785712 | 30 |
| Entity Name | Gastroenterology Associates Of North-central Alabama Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528080595 PECOS PAC ID: 3072591478 Enrollment ID: O20040712001151 |
| Entity Name | Birmingham Gastroenterology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366406514 PECOS PAC ID: 9537107594 Enrollment ID: O20050420000545 |
| Entity Name | Amsol Anesthetists Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20080829000381 |
| Entity Name | Epix Anesthesia Of Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
| Entity Name | Patriot Perioperative Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386194454 PECOS PAC ID: 4789964859 Enrollment ID: O20161207000089 |
| Entity Name | Cullman Regional Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326507013 PECOS PAC ID: 1456694082 Enrollment ID: O20190522000608 |
| Entity Name | Cullman Regional Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982163671 PECOS PAC ID: 2466785712 Enrollment ID: O20190531001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Mcmullen Iii, CRNA 1509 Pine Tree Pl, Birmingham, AL 35235-2802 Ph: (706) 494-4262 | Theodore Mcmullen Iii, CRNA 616 19th St, Columbus, GA 31901-1528 Ph: (706) 494-4262 |
Samuel Solomon Marks, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1000 | |
Terri Christine Buckner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 616 19th St, Columbus, GA 31901 Phone: 706-494-4262 | |
Gregory Whitfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 705-596-4000 | |
Greg Walsh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 | |
Rachel M Sneed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 | |
Brandon Fletcher, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Martin Army Community Hospital, Columbus, GA 31905 Phone: 706-544-2563 | |
Sharon S Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1374 Fax: 706-660-2686 |