Benjamin Ryan Leichliter, CRNA | |
600 Gresham Dr, Norfolk, VA 23507-1904 | |
(757) 388-3000 | |
Not Available |
Full Name | Benjamin Ryan Leichliter |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 600 Gresham Dr, Norfolk, Virginia |
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 |
---|---|---|---|
1548937659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0024190287 (Virginia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 30197 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Anesthesia Pc | 8921044744 | 114 |
American Anesthesiology Of Tennessee Pc | 9931001922 | 370 |
Entity Name | Anesthesia And Pain Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750399127 PECOS PAC ID: 1355239385 Enrollment ID: O20040310000239 |
Entity Name | Mmc Anesthesia Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Entity Name | American Anesthesiology Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Entity Name | Paragon Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Ryan Leichliter, CRNA 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830-6976 Ph: (865) 481-1112 | Benjamin Ryan Leichliter, CRNA 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 388-3000 |
Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Teresa Cousins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Jennifer D Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Allen Mesick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 |