Mr Claude Gregory Diettrich, CRNA | |
104 Gail Dr, Roanoke Rapids, NC 27870-9202 | |
(252) 533-0413 | |
Not Available |
Full Name | Mr Claude Gregory Diettrich |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 104 Gail Dr, Roanoke Rapids, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689787640 | NPI | - | NPPES |
8051649 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 044226 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Virginia Regional Medical Center | Emporia, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Of Virginia Pc | 6800790023 | 542 |
Entity Name | American Anesthesiology Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
Entity Name | Ams Virginia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356812242 PECOS PAC ID: 9638411598 Enrollment ID: O20190425002386 |
Mailing Address | Practice Location Address |
---|---|
Mr Claude Gregory Diettrich, CRNA 104 Gail Dr, Roanoke Rapids, NC 27870-9202 Ph: (252) 533-0413 | Mr Claude Gregory Diettrich, CRNA 104 Gail Dr, Roanoke Rapids, NC 27870-9202 Ph: (252) 533-0413 |
Mr. Steven Robert Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185 | |
Mr. David Christopher Michael, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8437 | |
John Eric Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185 | |
Mr. Kenneth Ivan Hartz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185 | |
Elizabeth Jarman Crawley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-535-8185 |