De'kia Dortch, | |
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
(804) 765-5000 | |
Not Available |
Full Name | De'kia Dortch |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 200 Medical Park Blvd, Petersburg, Virginia |
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 |
---|---|---|---|
1356095004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0024183461 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cjw Medical Center | Richmond, VA | Hospital |
John Randolph Medical Center | Hopewell, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dogwood Anesthesia Providers Llc | 2769853084 | 138 |
Entity Name | Dogwood Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989 |
Mailing Address | Practice Location Address |
---|---|
De'kia Dortch, 1806 Lakeview Ave, Richmond, VA 23220-5909 Ph: () - | De'kia Dortch, 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5000 |
Jack Lee Suddreth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 S Adams St, Petersburg, VA 23808 Phone: 804-862-5000 Fax: 804-862-5948 | |
Maribel K Abenir, CRNA-NP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Southside Regional Medical Center, Petersburg, VA 23805 Phone: 804-765-5000 Fax: 804-765-6250 | |
Ann Wade Sublette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 Fax: 804-862-5948 | |
Edde Karen Springer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5060 | |
Irene Mai Ratliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Kendria Sherrill Frasier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-295-9360 | |
Heather Day, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-288-4453 Fax: 804-288-1621 |