Mr David Hetzelt, CRNA | |
1315 Hospital Dr, St Johnsbury, VT 05819-9210 | |
(802) 748-8141 | |
Not Available |
Full Name | Mr David Hetzelt |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1315 Hospital Dr, St Johnsbury, Vermont |
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 |
---|---|---|---|
1750373726 | NPI | - | NPPES |
100506267 | Medicaid | NV | |
1008871 | Medicaid | VT | |
3076834 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 101-0026944 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Speare Memorial Hospital | Plymouth, NH | Hospital |
Androscoggin Valley Hospital | Berlin, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Androscoggin Valley Hospital Inc | 2365350725 | 43 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20201223000259 |
Mailing Address | Practice Location Address |
---|---|
Mr David Hetzelt, CRNA Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Mr David Hetzelt, CRNA 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 |
Rebecca S Barski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Jason Johns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Drive, Po Box 905, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Carroll E Ruhlman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 |