Mary Jean Detchemendy, CRNA in Concord, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mary Jean Detchemendy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. She graduated from nursing school in 1990 and has 34 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mountain Regional Anesthesia, Pllc and her current practice location is 920 Church St N, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 783-4235.

Mary Jean Detchemendy is licensed to practice in North Carolina (license number 096193) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093737009.

Contact Information

	Mary Jean Detchemendy, CRNA
	920 Church St N, Concord, NC 28025-2927
	(704) 783-4235
	(704) 783-2527

Map and Direction

Provider's Profile

Full Name	Mary Jean Detchemendy
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	34 Years
Location	920 Church St N, Concord, 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.

Medical Education and Training:

Mary Jean Detchemendy graduated from nursing school in 1990

NPI Data:

NPI Number: 1093737009
Provider Enumeration Date: 07/25/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3375637481
Enrollment ID: I20070920000335

Medical Identifiers

Medical identifiers for Mary Jean Detchemendy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093737009	NPI	-	NPPES
8050167	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	096193 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain Regional Anesthesia, Pllc	1557694650	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Jean Detchemendy allows following entities to bill medicare on her behalf.

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

Entity Name	Mountain Regional Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801360565 PECOS PAC ID: 1557694650 Enrollment ID: O20190604003016

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jean Detchemendy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Jean Detchemendy, CRNA 102 Harborgate Ct, Cornelius, NC 28031-5000 Ph: (704) 892-8372	Mary Jean Detchemendy, CRNA 920 Church St N, Concord, NC 28025-2927 Ph: (704) 783-4235

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000
Justice L Edmond, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527
Janet Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235

Mary Jean Detchemendy, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Concord, NC