Carla Y Tracy, CRNA | |
58 Brookshire Ln, Beckley, WV 25801-6765 | |
(301) 252-4900 | |
(304) 252-8470 |
Full Name | Carla Y Tracy |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 58 Brookshire Ln, Beckley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871669432 | NPI | - | NPPES |
001720741 | Other | WV | BCBS |
2605295000 | Medicaid | WV | |
2378154 | Medicaid | OH | |
74005778 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 50590 (West Virginia) | Primary |
Entity Name | Sage Anesthesia Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609584614 PECOS PAC ID: 8123499183 Enrollment ID: O20230130002153 |
Mailing Address | Practice Location Address |
---|---|
Carla Y Tracy, CRNA 5818 County Road 6, Kitts Hill, OH 45645-8813 Ph: (304) 638-0295 | Carla Y Tracy, CRNA 58 Brookshire Ln, Beckley, WV 25801-6765 Ph: (301) 252-4900 |
Anita Coleman Law, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 Fax: 606-574-8013 | |
Cynthia L Kappler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Harper Rd, Beckley, WV 25801 Phone: 304-256-4100 Fax: 954-851-1758 | |
Mrs. April J. Gwinn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 Fax: 606-574-8013 | |
Robert D Lovejoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 379 Stanaford Rd, Beckley, WV 25801 Phone: 304-253-3000 | |
Ms. Cynthia Delphane Barker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 | |
Kristi Ann Shrewsbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Harper Road, Beckley, WV 25801 Phone: 304-256-4100 Fax: 954-858-0116 | |
Llew Alan Crowder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 |