Mrs Colleen M Ebner, CRNA | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-8983 | |
(704) 355-8994 |
Full Name | Mrs Colleen M Ebner |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003843822 | NPI | - | NPPES |
NAN707 | Medicaid | SC | |
8052219 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 127553 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coastal Carolina Hospital | Hardeeville, SC | Hospital |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 169 |
Low Country Anesthesia, Pa | 8729063797 | 42 |
Entity Name | Low Country Anesthesia, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417928268 PECOS PAC ID: 8729063797 Enrollment ID: O20040623000371 |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
---|---|
Mrs Colleen M Ebner, CRNA Po Box 32861, Anesthesia Svcs - 5th Floor Surgery Tower, Charlotte, NC 28232-2861 Ph: (704) 355-8983 | Mrs Colleen M Ebner, CRNA 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-8983 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274 |