| Mr John P Henry, CRNA | |
|
1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | |
| (540) 741-7614 | |
| Not Available |
| Full Name | Mr John P Henry |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1001 Sam Perry Blvd, Fredericksburg, 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 |
|---|---|---|---|
| 1629077193 | NPI | - | NPPES |
| 056843700 | Medicaid | DC | |
| 1629077193 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | RN-0001152041 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | CRNA-0024164722 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Virginia, Llc | 6608268826 | 372 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John P Henry, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (888) 280-9533 | Mr John P Henry, CRNA 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (540) 741-7614 |
Justin Hamway Rackley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Kenneth Scott Papier, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 540-741-7615 | |
Tara Rose-sukhapinda Secor, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1100 | |
Krista Anne Manges-zalegowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 706-650-1034 | |
William Scott Brosche, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Michelle Lynn Gee, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Dr. Gerald A Bellotti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1724 Beverly Dr, Fredericksburg, VA 22401 Phone: 540-373-2349 Fax: 540-373-6053 |