Ronald Kyle Petersen, CRNA | |
1 Medical Center Boulevard, Winston-salem, NC 27103 | |
(336) 716-2011 | |
Not Available |
Full Name | Ronald Kyle Petersen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 1 Medical Center Boulevard, Winston-salem, North Carolina |
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 |
---|---|---|---|
1720598014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 280909 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 2048 |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Ronald Kyle Petersen, CRNA 180 Rolling Meadow Ln, Clemmons, NC 27012-6744 Ph: (770) 842-9916 | Ronald Kyle Petersen, CRNA 1 Medical Center Boulevard, Winston-salem, NC 27103 Ph: (336) 716-2011 |
Mrs. Hannah Fortwengler Rainey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvrd, Winston-salem, NC 27101 Phone: 336-716-6701 | |
Mrs. Vedwattie Moses, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-5180 | |
Amy Lynn Good, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Boulevard, Winston-salem, NC 27103 Phone: 336-716-2011 | |
Kathleen R. Wren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Drive, Nurse Anesthesia Program, Winston-salem, NC 27157 Phone: 407-303-9331 Fax: 407-303-9578 | |
Rebecca N. Mclean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-5000 | |
Miss Marcia Lynnette Guine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Boulevard, Winston-salem, NC 27157 Phone: 336-716-3069 | |
Nancy Cannon Cobb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27103 Phone: 336-716-6701 |