| Wallace Scott Phillips, CRNA | |
|
1031 Scott Ter, Athens, GA 30606-6271 | |
| (706) 549-2700 | |
| (706) 549-6592 |
| Full Name | Wallace Scott Phillips |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 1031 Scott Ter, Athens, 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 |
|---|---|---|---|
| 1528166717 | NPI | - | NPPES |
| 00701401A | Medicaid | GA | |
| 00071401L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN097986 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital, Inc. | 2668546441 | 8 |
| Putnam General Hospital Authority | 4688657612 | 4 |
| Vituity-georgia Anesthesia Pc | 6901331339 | 19 |
| Entity Name | Putnam General Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386670834 PECOS PAC ID: 4688657612 Enrollment ID: O20040610001279 |
| Entity Name | American Professional Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922012210 PECOS PAC ID: 9830199157 Enrollment ID: O20070110000092 |
| Entity Name | Walton Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265642946 PECOS PAC ID: 2264532522 Enrollment ID: O20070716000467 |
| Entity Name | Morgan County Georgia Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205843174 PECOS PAC ID: 0446148597 Enrollment ID: O20080523000137 |
| Entity Name | Good Samaritan Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346209137 PECOS PAC ID: 2668546441 Enrollment ID: O20081212000495 |
| Entity Name | Vituity-georgia Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356190888 PECOS PAC ID: 6901331339 Enrollment ID: O20241122000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Scott Phillips, CRNA 1031 Scott Ter, Athens, GA 30606-6271 Ph: (706) 424-1633 | Wallace Scott Phillips, CRNA 1031 Scott Ter, Athens, GA 30606-6271 Ph: (706) 549-2700 |
Greg Perry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-543-3449 Fax: 706-543-5744 | |
Emily M Livingston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-227-3450 | |
Amy Morales, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-227-3450 | |
Mr. Barry Claude Lucas, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-3666 | |
Kay T Taylor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449 Fax: 706-543-5744 | |
Ashley Pilcher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 404-392-1672 | |
Lindsey Michele Elder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 404-421-2781 |