| Weston Davenport, CRNA | |
|
35 Hospital Rd, Blairsville, GA 30512-3139 | |
| (706) 745-2111 | |
| Not Available |
| Full Name | Weston Davenport |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 35 Hospital Rd, Blairsville, 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 |
|---|---|---|---|
| 1346847480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN255176 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union General Hospital | Blairsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guardian Medical Services Llc | 8325347735 | 24 |
| Innovative Anesthesia Solutions Llc | 9931594942 | 19 |
| Entity Name | Guardian Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
| Entity Name | Innovative Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326706763 PECOS PAC ID: 9931594942 Enrollment ID: O20220309001952 |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Davenport, CRNA 87 Indigo Dr, Mineral Bluff, GA 30559-3434 Ph: () - | Weston Davenport, CRNA 35 Hospital Rd, Blairsville, GA 30512-3139 Ph: (706) 745-2111 |
Seth Martin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 706-745-2111 | |
Douglas Keith Bradford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 856 Byers Rd, Blairsville, GA 30512 Phone: 334-799-1549 | |
Mrs. Dusty Lynn Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Hospital Rd, Blairsville, GA 30512 Phone: 610-453-1548 | |
Dr. Cheryl E. Mcrae-bergeron, D.N.P. CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 547 Riverbend Rd, Blairsville, GA 30512 Phone: 706-835-6166 Fax: 706-781-6949 | |
Sharon Elaine Ely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 Hospital Cir, Blairsville, GA 30512 Phone: 706-745-2111 | |
Ronald Ray Mallory, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 Hospital Cir, Blairsville, GA 30512 Phone: 706-745-2111 Fax: 706-745-3114 |