Edelrose Fortea Bacanto, CRNA | |
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
(805) 509-7556 | |
Not Available |
Full Name | Edelrose Fortea Bacanto |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1638 Owen Dr, Fayetteville, 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 |
---|---|---|---|
1093368086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 6389 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland County Hospital System Inc | 1850204041 | 469 |
Entity Name | Cumberland County Hospital System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Mailing Address | Practice Location Address |
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Edelrose Fortea Bacanto, CRNA 2629 Edmonton Rd, Fayetteville, NC 28304-3768 Ph: () - | Edelrose Fortea Bacanto, CRNA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (805) 509-7556 |
Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 | |
Dr. Jonathan Ray Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-3757 | |
Madison Brooke Reid, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 330-360-9528 | |
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236 |