Mr Larry Heredia, CRNA | |
1600 Rockland Road, Wilmington, DE 19803-3607 | |
(302) 651-4200 | |
(302) 651-5365 |
Full Name | Mr Larry Heredia |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 1600 Rockland Road, Wilmington, Delaware |
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 |
---|---|---|---|
1043302920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | L60A00240 (Delaware) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | L60A00240 (Delaware) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delaware Center For Digestive Care Llc | 5890089353 | 55 |
Entity Name | Bayhealth Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467546135 PECOS PAC ID: 1658364740 Enrollment ID: O20040405001600 |
Entity Name | Delaware Center For Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558722561 PECOS PAC ID: 5890089353 Enrollment ID: O20160805000253 |
Entity Name | Northstar Anesthesia Of Delaware Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316544976 PECOS PAC ID: 8022428416 Enrollment ID: O20201116000036 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Heredia, CRNA P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Mr Larry Heredia, CRNA 1600 Rockland Road, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Christine Moses, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 | |
Ms. Melinda S. Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
Ms. Carolyn R Sweeney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
William G Devece, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N. Clayton St., 4th Floor, Wilmington, DE 19805 Phone: 302-421-4330 Fax: 302-421-4331 | |
Martha Dawn Turner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805 Phone: 302-994-2511 | |
Leslie K Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 | |
Nicholas Stuardi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 |