Ms Traci Page Hanes, CRNA | |
145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 | |
(336) 768-3212 | |
(336) 768-9019 |
Full Name | Ms Traci Page Hanes |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 145 Kimel Park Dr Ste 120, Winston Salem, 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 |
---|---|---|---|
1518953447 | NPI | - | NPPES |
8052050 | Medicaid | NC | |
NAN498 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 151906 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 070424 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Park Hospital Llc | 4880595958 | 72 |
Forsyth Memorial Hospital Inc | 9537071790 | 516 |
Entity Name | Piedmont Stone Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
Entity Name | Novant Health Thomasville Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
Entity Name | Medical Park Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
Entity Name | The Presbyterian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Novant Health Rowan Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
Entity Name | Gate City Anesthesia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225135361 PECOS PAC ID: 8820089329 Enrollment ID: O20040522000317 |
Entity Name | Piedmont Triad Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312 |
Entity Name | Novant Health Matthews Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
Entity Name | Davidson Anesthesia Consultants, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407801889 PECOS PAC ID: 0941396659 Enrollment ID: O20071010000862 |
Entity Name | Anesthesia Care Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
Entity Name | Novant Health Mint Hill Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
Mailing Address | Practice Location Address |
---|---|
Ms Traci Page Hanes, CRNA 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 Ph: (336) 768-3212 | Ms Traci Page Hanes, CRNA 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Ph: (336) 768-3212 |
Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797 | |
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 |