Mr David Raymond Keith Sr, CRNA | |
289 County Rd, Windsor, VT 05089-9000 | |
(802) 674-7300 | |
(802) 674-7314 |
Full Name | Mr David Raymond Keith Sr |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 289 County Rd, Windsor, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437160454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0321772311 (New Hampshire) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1010060781 (Vermont) | Primary |
Entity Name | Anesthesia Associates Professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881791150 PECOS PAC ID: 3375532435 Enrollment ID: O20040512000620 |
Mailing Address | Practice Location Address |
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Mr David Raymond Keith Sr, CRNA 289 County Rd, Windsor, VT 05089-9000 Ph: (802) 674-7300 | Mr David Raymond Keith Sr, CRNA 289 County Rd, Windsor, VT 05089-9000 Ph: (802) 674-7300 |
John H Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7218 Fax: 802-674-7005 | |
Mrs. Susan F Bennett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7300 | |
Mr. Dennis William Heibein, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7300 Fax: 802-674-7314 | |
Mr. Jon David Bennett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7036 |