Vladimir Bautista, CRNA | |
155 Memorial Dr, Pinehurst, NC 28374-8710 | |
(910) 715-1010 | |
(910) 715-1026 |
Full Name | Vladimir Bautista |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 155 Memorial Dr, Pinehurst, 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 |
---|---|---|---|
1427469816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041374765 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 133834 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Firsthealth Of The Carolinas Inc | 8820909377 | 114 |
Entity Name | Firsthealth Of The Carolinas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
Mailing Address | Practice Location Address |
---|---|
Vladimir Bautista, CRNA 155 Memorial Dr, Pinehurst, NC 28374-8710 Ph: (331) 221-1000 | Vladimir Bautista, CRNA 155 Memorial Dr, Pinehurst, NC 28374-8710 Ph: (910) 715-1010 |
Joseph Clair, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 704-749-5800 | |
William D Rocchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1233 Fax: 910-715-1943 | |
Charles D Arno Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1233 Fax: 910-715-1943 | |
Ashley Gaye Hennings, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1233 Fax: 910-715-1943 | |
Miss Teresa Ann Johnes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1000 | |
Susan Ann Williamson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1233 Fax: 910-715-1926 | |
Katherine Titus-wells, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-1233 Fax: 910-715-1943 |