Roger Jacquelin, CRNA | |
125 Buena Vista Cir, South Hill, VA 23970-1431 | |
(952) 442-9770 | |
Not Available |
Full Name | Roger Jacquelin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 52 Years |
Location | 125 Buena Vista Cir, South Hill, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609858406 | NPI | - | NPPES |
080569 | Other | VA | BLUE CROSS OF VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0001051476 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Memorial Hospital | South hill, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cmh Physician Services Llc | 3779551445 | 110 |
Entity Name | Cmh Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
Mailing Address | Practice Location Address |
---|---|
Roger Jacquelin, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Roger Jacquelin, CRNA 125 Buena Vista Cir, South Hill, VA 23970-1431 Ph: (952) 442-9770 |
Olukunle Oreyemi-rire Olumuyiwa, CRNA (DMPNA), APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-2273 Fax: 434-584-5579 | |
Mrs. Pamela Susan Bardwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Buena Vista Circle, Cmh-vcu Health, South Hill, VA 23919 Phone: 434-447-3151 | |
Thomas Watters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Buena Vista Cir, South Hill, VA 23970 Phone: 952-442-9770 | |
Mr. Gregory Joseph Myslinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-3151 |