Alix Theodossiou Goodwin, RN, CRNA | |
28 Schenck Pkwy, Asheville, NC 28803-5053 | |
(828) 654-6499 | |
Not Available |
Full Name | Alix Theodossiou Goodwin |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 28 Schenck Pkwy, Asheville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205406691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WC0200X | Registered Nurse - Critical Care Medicine | 301234 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 143181 (North Carolina) | Primary |
Entity Name | Mission Health Community Multispecialty Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Mailing Address | Practice Location Address |
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Alix Theodossiou Goodwin, RN, CRNA 28 Schenck Pkwy, Asheville, NC 28803-5053 Ph: () - | Alix Theodossiou Goodwin, RN, CRNA 28 Schenck Pkwy, Asheville, NC 28803-5053 Ph: (828) 654-6499 |
Bradley Richard Gleckler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-1111 | |
Kenneth B Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 76 Peachtree Rd, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-254-4611 | |
Mr. Timothy Whalen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 76 Peachtree Road, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-274-7407 | |
Emma Greear Autry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-2325 | |
Angela Michelle Simmons, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 76 Peachtree Rd, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-254-4611 | |
Tamara Ann Matejka, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 76 Peachtree Road, Suite 300, Asheville, NC 28803 Phone: 828-274-3477 Fax: 828-274-7407 | |
Michael Hector, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-1111 |