Lacey Liss Chavarria, CRNA | |
401 Ferndale Blvd, High Point, NC 27262-4739 | |
(336) 882-2567 | |
(336) 882-5466 |
Full Name | Lacey Liss Chavarria |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 401 Ferndale Blvd, High Point, 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 |
---|---|---|---|
1841485935 | NPI | - | NPPES |
8053006 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 181589 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 078220 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
High Point Regional Health System | High point, NC | Hospital |
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolina Anesthesiology Pa | 7214841410 | 55 |
Forsyth Memorial Hospital Inc | 9537071790 | 516 |
Entity Name | Carolina Anesthesiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629032347 PECOS PAC ID: 7214841410 Enrollment ID: O20031112000766 |
Entity Name | Novant Health Thomasville Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
Entity Name | Medical Park Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
Entity Name | The Presbyterian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Novant Health Rowan Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
Entity Name | Piedmont Triad Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312 |
Entity Name | Novant Health Matthews Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
Entity Name | Novant Health Mint Hill Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
Mailing Address | Practice Location Address |
---|---|
Lacey Liss Chavarria, CRNA 401 Ferndale Blvd, High Point, NC 27262-4739 Ph: (336) 882-2567 | Lacey Liss Chavarria, CRNA 401 Ferndale Blvd, High Point, NC 27262-4739 Ph: (336) 882-2567 |
Joanna N Huckabee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
Linda G Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 333-688-2546 | |
David A Adeloye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
Teresa L Dent-bonnette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
Laurie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
Mrs. Maryann Daly Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, Carolina Anesthesiology Pa, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
Jo B Hufford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 |