| Trey S Burg, CRNA | |
|
126 Hospital Ave, Ozark, AL 36360-2018 | |
| (334) 793-8087 | |
| (334) 793-8191 |
| Full Name | Trey S Burg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 126 Hospital Ave, Ozark, Alabama |
| 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 |
|---|---|---|---|
| 1902863657 | NPI | - | NPPES |
| 009940555 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-084876 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gut Pc | 3375589799 | 45 |
| Epix Anesthesia Of Alabama Llc | 8022300748 | 31 |
| Ambulatory Management Llc | 9436501178 | 9 |
| Entity Name | Dale Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538275342 PECOS PAC ID: 3476466327 Enrollment ID: O20031107000202 |
| Entity Name | Gut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073566006 PECOS PAC ID: 3375589799 Enrollment ID: O20050707000149 |
| Entity Name | Dothan Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368 |
| 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 | Veronox Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669951604 PECOS PAC ID: 0143572891 Enrollment ID: O20181009000934 |
| Entity Name | Community Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
| Entity Name | Ambulatory Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003690744 PECOS PAC ID: 9436501178 Enrollment ID: O20240118002640 |
| Mailing Address | Practice Location Address |
|---|---|
| Trey S Burg, CRNA 126 Hospital Ave, Ozark, AL 36360-2018 Ph: (334) 793-8087 | Trey S Burg, CRNA 126 Hospital Ave, Ozark, AL 36360-2018 Ph: (334) 793-8087 |
Richard E Lucky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Hospital Ave, Ozark, AL 36360 Phone: 334-793-8087 Fax: 334-793-8191 |