Brandon Heath, | |
977 Cleghorn Valley Rd, Marion, VA 24354-6076 | |
(276) 780-6792 | |
Not Available |
Full Name | Brandon Heath |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 977 Cleghorn Valley Rd, Marion, Virginia |
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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1851078950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 0001270927 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024189222 (Virginia) | Primary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
Mailing Address | Practice Location Address |
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Brandon Heath, 977 Cleghorn Valley Rd, Marion, VA 24354-6076 Ph: () - | Brandon Heath, 977 Cleghorn Valley Rd, Marion, VA 24354-6076 Ph: (276) 780-6792 |
Mr. Antonio Delarosa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 | |
Stephanie Pollard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1245 | |
Hillary Brooke Rosenfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 | |
Suzanne Bullard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 |