Mr Henry Mercer Holsomback Jr, CRNA | |
302 University Pkwy, Aiken Regional Medical Center, Aiken, SC 29801-6302 | |
(803) 641-5489 | |
(803) 641-5148 |
Full Name | Mr Henry Mercer Holsomback Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 45 Years |
Location | 302 University Pkwy, Aiken, South 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 |
---|---|---|---|
1578550703 | NPI | - | NPPES |
AN0053 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26114 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aiken Regional Medical Center | Aiken, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ad Of South Carolina Llc | 6901269224 | 29 |
Entity Name | Aiken Regional Medical Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316955875 PECOS PAC ID: 9739083312 Enrollment ID: O20031125000288 |
Entity Name | Atlantic Coast Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
Entity Name | Ad Of South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205518792 PECOS PAC ID: 6901269224 Enrollment ID: O20230901002506 |
Mailing Address | Practice Location Address |
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Mr Henry Mercer Holsomback Jr, CRNA Po Box 40, Sullivans Island, SC 29482-0040 Ph: (843) 883-5830 | Mr Henry Mercer Holsomback Jr, CRNA 302 University Pkwy, Aiken Regional Medical Center, Aiken, SC 29801-6302 Ph: (803) 641-5489 |
Mr. Robert Bernard Chapman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 803-641-5489 Fax: 803-641-5148 | |
Mr. Daniel E Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 University Pkwy, Aiken Regional Medical Center, Aiken, SC 29801 Phone: 803-641-5489 Fax: 803-641-5148 | |
Donovan Peace, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 803-641-5000 | |
Ms. Kathy Livingston Gunter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 526 Timberchase Lane, Aiken, SC 29803 Phone: 803-522-1291 Fax: 803-648-2050 | |
Teresa Pirtle Gordy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 University Pkwy, Aiken Regional Medical Center, Aiken, SC 29801 Phone: 803-641-5489 Fax: 803-641-5148 | |
Patricia M Hannan, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 Pepper Hill Way, Aiken, SC 29801 Phone: 803-642-6060 Fax: 706-228-3433 | |
Mr. William G Jackson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 302 University Pkwy, Aiken Regional Medical Center, Aiken, SC 29801 Phone: 803-641-5489 Fax: 803-651-5148 |