Mrs Georgia Ann Hetrick, CRNA | |
2908 Schubba Ct, Raleigh, NC 27614-7575 | |
(919) 986-2476 | |
Not Available |
Full Name | Mrs Georgia Ann Hetrick |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 2908 Schubba Ct, Raleigh, 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 |
---|---|---|---|
1528167335 | NPI | - | NPPES |
8052963 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 054687 (North Carolina) | Primary |
163W00000X | Registered Nurse | 186634 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Nittany Medical Center | State college, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Nittany Medical Center | 2365353364 | 47 |
Entity Name | Mount Nittany Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528321015 PECOS PAC ID: 2365353364 Enrollment ID: O20120803000492 |
Mailing Address | Practice Location Address |
---|---|
Mrs Georgia Ann Hetrick, CRNA 2908 Schubba Ct, Raleigh, NC 27614-7575 Ph: (919) 986-2476 | Mrs Georgia Ann Hetrick, CRNA 2908 Schubba Ct, Raleigh, NC 27614-7575 Ph: (919) 986-2476 |
Eric Linton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Brianne V Schreiber, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613 Phone: 330-503-7009 | |
Carol Goodson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607 Phone: 919-781-4311 | |
Christopher Michael Lamers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Donna Ransom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 | |
Douglas Sanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Angela L Kinmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 |