Patricia Roach Norcom, CRNA | |
2536 Lengers Way, Fort Mill, SC 29707-7126 | |
(704) 749-5800 | |
(704) 626-3237 |
Full Name | Patricia Roach Norcom |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2536 Lengers Way, Fort Mill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245289750 | NPI | - | NPPES |
8052065 | Medicaid | NC | |
NAN413 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 053779 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26300 (South Carolina) | Primary |
Entity Name | The Presbyterian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487626933 PECOS PAC ID: 1153231907 Enrollment ID: O20031126000588 |
Entity Name | Providence Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
Entity Name | Nmg Southpark Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952690109 PECOS PAC ID: 6901075977 Enrollment ID: O20110808000705 |
Entity Name | Novant Health Mint Hill Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
Mailing Address | Practice Location Address |
---|---|
Patricia Roach Norcom, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4239 | Patricia Roach Norcom, CRNA 2536 Lengers Way, Fort Mill, SC 29707-7126 Ph: (704) 749-5800 |
Alisha Nicole Anderson-dillon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1145 Hartmann Ct, Fort Mill, SC 29715 Phone: 704-491-3024 |