| William Enrique Agudelo, CRNA | |
|
380 Hospital Drive, Suite 410, Macon, GA 31217-8014 | |
| (478) 746-5644 | |
| (478) 745-4849 |
| Full Name | William Enrique Agudelo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 380 Hospital Drive, Macon, 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 |
|---|---|---|---|
| 1174512602 | NPI | - | NPPES |
| AN1387 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN2487 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN092922 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Anesthesia Llc | 0345579876 | 14 |
| Sweet Dreams Nurse Anesthesiology Llc | 1658568621 | 11 |
| Overwatch Anesthesia | 3678949146 | 51 |
| Radiance Anesthesia | 5890116032 | 10 |
| Eminence Anesthesia Llc | 6406260553 | 6 |
| Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
| Entity Name | Synergy Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
| Entity Name | Nmda Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
| Entity Name | Sweet Dreams Nurse Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891005989 PECOS PAC ID: 1658568621 Enrollment ID: O20120525000211 |
| Entity Name | Sweet Dreams Anesthesiology Nurses Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669737409 PECOS PAC ID: 0941456446 Enrollment ID: O20120816000621 |
| Entity Name | Sweet Dreams Nurse Anesthesia Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003168923 PECOS PAC ID: 7719138353 Enrollment ID: O20121108000271 |
| Entity Name | Grand Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689230724 PECOS PAC ID: 0345579876 Enrollment ID: O20190910000358 |
| Entity Name | Radiance Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
| Entity Name | Vision Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20210428000240 |
| Entity Name | Overwatch Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20221025001644 |
| Entity Name | Eminence Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497219240 PECOS PAC ID: 6406260553 Enrollment ID: O20240311002052 |
| Entity Name | Vertex Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649008970 PECOS PAC ID: 8022547306 Enrollment ID: O20250131000647 |
| Entity Name | Integrated Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205656618 PECOS PAC ID: 2466972377 Enrollment ID: O20250221003609 |
| Mailing Address | Practice Location Address |
|---|---|
| William Enrique Agudelo, CRNA Po Box 2564, Macon, GA 31203-2565 Ph: (478) 746-5644 | William Enrique Agudelo, CRNA 380 Hospital Drive, Suite 410, Macon, GA 31217-8014 Ph: (478) 746-5644 |
Virginia Garrison Crouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Angela D Jenkins I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Richard A Scherer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Demetra D Mcglothin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Mr. Keath L. Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Kelli Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Rickey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 |