Melissa Haines, CRNA | |
101 Bodin Cir, Fairfield, CA 94535-1809 | |
(707) 423-3719 | |
Not Available |
Full Name | Melissa Haines |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 Bodin Cir, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124689468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9294337 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 11007464 (Florida) | Primary |
Entity Name | Fleming Island Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
Entity Name | Ams Anesthetist Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770834426 PECOS PAC ID: 8325298458 Enrollment ID: O20121025000224 |
Entity Name | Anesthesia Dynamics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
Mailing Address | Practice Location Address |
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Melissa Haines, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Melissa Haines, CRNA 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: (707) 423-3719 |
Jean-marc Jojo Ndame, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2473 Hancock Dr, Fairfield, CA 94533 Phone: 720-937-1705 | |
Janice Shannon-cain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535 Phone: 510-517-4123 | |
Diane Leslie Layman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Phone: 707-423-7948 | |
Tina Isaac, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-673-3594 |