Ruvim Leontyev, CRNA | |
606 Black River Rd, Georgetown, SC 29440-3304 | |
(843) 527-7000 | |
Not Available |
Full Name | Ruvim Leontyev |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 606 Black River Rd, Georgetown, 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 |
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1003596016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 29045 (South Carolina) | Primary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
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Ruvim Leontyev, CRNA 14 Lockwood Dr Apt 6a, Charleston, SC 29401-1132 Ph: (864) 381-5477 | Ruvim Leontyev, CRNA 606 Black River Rd, Georgetown, SC 29440-3304 Ph: (843) 527-7000 |
Claudia Chandler Chakides, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Road, Georgetown, SC 29440 Phone: 843-527-7000 | |
Kristen Drenga, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-240-8047 | |
Pam Amanda Locke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-240-8047 | |
Loy Neal Patterson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7100 | |
Tina Louise Marrs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-527-7000 Fax: 843-520-8403 | |
Catherine D Lumpkin, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Highmarket St, Suite 200, Georgetown, SC 29440 Phone: 843-546-8421 Fax: 843-546-1173 |