Ms Annie Delores Blackwell, CRNA | |
117 E Kings Hwy, Eden, NC 27288-5201 | |
(336) 623-9711 | |
Not Available |
Full Name | Ms Annie Delores Blackwell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 44 Years |
Location | 117 E Kings Hwy, Eden, 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 |
---|---|---|---|
1598811663 | NPI | - | NPPES |
8051039 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 072294 (North Carolina) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 0024165671 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Of Virginia Pc | 6800790023 | 542 |
Entity Name | American Anesthesiology Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Mailing Address | Practice Location Address |
---|---|
Ms Annie Delores Blackwell, CRNA 117 E Kings Hwy, Eden, NC 27288-5201 Ph: (336) 623-9711 | Ms Annie Delores Blackwell, CRNA 117 E Kings Hwy, Eden, NC 27288-5201 Ph: (336) 623-9711 |
Heidi Orme, MS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 | |
Ms. Maria Iyabodei Sorinolu-famuyiwa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 | |
Linda N. Haynes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 | |
Jane Everhart Bowman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 | |
Janet J. Davis, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 | |
Donald C Wray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E Kings Hwy, Eden, NC 27288 Phone: 336-623-9711 Fax: 336-623-7660 |