| Marc Alan Friedberg, CRNA | |
|
Carilion Professional Services, Belleview Ave At Jefferson St S.e., Roanoke, VA 24014-1850 | |
| (540) 981-8310 | |
| Not Available |
| Full Name | Marc Alan Friedberg |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Carilion Professional Services, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568572063 | NPI | - | NPPES |
| 010363667 | Medicaid | VA | |
| 516732 | Other | TX | REGISTERED NURSE LIC/TX |
| 010363683 | Medicaid | VA | |
| 010363713 | Medicaid | VA | |
| 010363748 | Medicaid | VA | |
| 043194 | Other | CRNA | |
| 010363624 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 516732 (Texas) | Primary |
| Entity Name | Anesthesiology Associates Of Radford Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407878465 PECOS PAC ID: 0941192272 Enrollment ID: O20040330000012 |
| Entity Name | Professional Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619149648 PECOS PAC ID: 8527133677 Enrollment ID: O20090122000416 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Alan Friedberg, CRNA 604 Airport Rd, Blacksburg, VA 24060-5404 Ph: (540) 951-0259 | Marc Alan Friedberg, CRNA Carilion Professional Services, Belleview Ave At Jefferson St S.e., Roanoke, VA 24014-1850 Ph: (540) 981-8310 |
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 |