Kenneth Gergely, CRNA | |
1906 Belleview Ave Se, Roanoke, VA 24014-1838 | |
(540) 981-7000 | |
Not Available |
Full Name | Kenneth Gergely |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 1906 Belleview Ave Se, Roanoke, 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 |
---|---|---|---|
1598721367 | NPI | - | NPPES |
010100186 | Medicaid | VA | |
010111331 | Medicaid | VA | |
010111391 | Medicaid | VA | |
010100160 | Medicaid | VA | |
010111358 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001-190814 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024-166359 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carilion Medical Center | Roanoke, VA | Hospital |
Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carilion Professional Services Llc | 2163323999 | 47 |
Entity Name | Carilion Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184634156 PECOS PAC ID: 2163323999 Enrollment ID: O20040115000710 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Gergely, CRNA 65 Queen Regent Ct, Blue Ridge, VA 24064-1521 Ph: () - | Kenneth Gergely, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000 |
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222 | |
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 | |
Mr. Harrison Johnston Shull Iii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363 | |
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 | |
Amanda Dillen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 | |
Michael Christopher Beaudoin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-312-4461 |