| Robert J Idacavage, CRNA | |
|
618 S Main St, Reidsville, NC 27320-5020 | |
| (336) 951-4000 | |
| Not Available |
| Full Name | Robert J Idacavage |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 618 S Main St, Reidsville, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811044530 | NPI | - | NPPES |
| 8052514 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 39472 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Idacavage, CRNA Po Box 26580, Greensboro, NC 27415-6580 Ph: (336) 832-7786 | Robert J Idacavage, CRNA 618 S Main St, Reidsville, NC 27320-5020 Ph: (336) 951-4000 |
Karen E Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-951-4000 | |
John L Waller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-951-4000 | |
Amy Andraza Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-832-7000 |