| William E Tippins Jr, CRNA | |
|
410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501-5246 | |
| (912) 338-6511 | |
| (912) 338-6512 |
| Full Name | William E Tippins Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 410 Darling Ave, Waycross, 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 |
|---|---|---|---|
| 1821065020 | NPI | - | NPPES |
| 848439678A | Medicaid | GA | |
| 848439678D | Medicaid | GA | |
| 848439678C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN115907 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overwatch Anesthesia | 3678949146 | 51 |
| Ams Southeast Llc | 3870880792 | 69 |
| Entity Name | Hospital Authority Of Wayne County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506222 PECOS PAC ID: 5698663854 Enrollment ID: O20040309000521 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Overwatch Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20221025001644 |
| Mailing Address | Practice Location Address |
|---|---|
| William E Tippins Jr, CRNA 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501-5246 Ph: (912) 338-6511 | William E Tippins Jr, CRNA 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501-5246 Ph: (912) 338-6511 |
Harriet L Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 336-553-1659 Fax: 336-553-3994 | |
Mrs. Mary A Justyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Anthony Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Ms. Mary Carolyn Linder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Deanna Holland Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Lisa F Goedert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-338-6511 Fax: 336-553-3994 | |
Andy M Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 |