| Vincent F Polvinale, CRNA | |
|
4575 North Shallowford Road, Dunwoody, GA 30338 | |
| (770) 454-4286 | |
| (770) 454-4065 |
| Full Name | Vincent F Polvinale |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 38 Years |
| Location | 4575 North Shallowford Road, Dunwoody, 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 |
|---|---|---|---|
| 1154376341 | NPI | - | NPPES |
| 000550624C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN096241 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centurion Anesthesia - Fl Llc | 6103205620 | 97 |
| Entity Name | Moonlight Anesthesia, P.l. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707 |
| Entity Name | Quantum Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306270806 PECOS PAC ID: 2668608910 Enrollment ID: O20131115000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent F Polvinale, CRNA Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | Vincent F Polvinale, CRNA 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286 |
John G Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Nita M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lydia Mallari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Martha Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Margaret Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Lynnette Virginia Saefke-wolc, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4827 Manget Ct, Dunwoody, GA 30338 Phone: 770-396-4704 Fax: 770-396-1576 |