Mr Michael Caine, CRNA | |
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
(910) 609-6440 | |
(910) 609-5365 |
Full Name | Mr Michael Caine |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1638 Owen Dr, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740289792 | NPI | - | NPPES |
8050334 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 083689 (North Carolina) | Primary |
Entity Name | Fayetteville Anesthesia, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144362864 PECOS PAC ID: 0941281158 Enrollment ID: O20040525000891 |
Mailing Address | Practice Location Address |
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Mr Michael Caine, CRNA Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 609-6440 | Mr Michael Caine, CRNA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 609-6440 |
Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 | |
Dr. Jonathan Ray Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-3757 | |
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556 | |
Madison Brooke Reid, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 330-360-9528 | |
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236 |