Merrie Beth Gough, | |
509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | |
(919) 938-7188 | |
Not Available |
Full Name | Merrie Beth Gough |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 509 N Brightleaf Blvd, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720184005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 108648 (North Carolina) | Primary |
Entity Name | Duke University Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20040625000811 |
Entity Name | Regional Anesthesia, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698 |
Mailing Address | Practice Location Address |
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Merrie Beth Gough, 7208 Rusted Oak Rd, Wake Forest, NC 27587-7170 Ph: () - | Merrie Beth Gough, 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 Ph: (919) 938-7188 |
Jennifer C. Johler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Mrs. Jacqueline Brewer Stevens, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7113 | |
Allison Renee Machado, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7019 Fax: 919-938-7957 | |
Lucy Coats, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Brenda Leatherman Hess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Stephen James Delaporte, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 | |
Mrs. Kristie Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188 |