| Amanda Derby, CRNA | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3100 | |
| Not Available |
| Full Name | Amanda Derby |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043670201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 282890 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 109837 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health University City | Charlotte, NC | Hospital |
| Carolinas Medical Center-northeast | Concord, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 561 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
| Entity Name | Novant Health Rowan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Derby, CRNA 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 882-0795 | Amanda Derby, CRNA 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |
Eric Linton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Brianne V Schreiber, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613 Phone: 330-503-7009 | |
Carol Goodson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607 Phone: 919-781-4311 | |
Christopher Michael Lamers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Donna Ransom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 | |
Douglas Sanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Angela L Kinmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 |