| Shovna Mishra, DO | |
|
2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Shovna Mishra |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033670930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2024-01190 (North Carolina) | Primary |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Shovna Mishra, DO 2817 Rock Merritt Ave, Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 | Shovna Mishra, DO 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 |
Thomas Allen Fawcett, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-7668 | |
Brandon James Leighton, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-643-8816 | |
Dr. Susan Watson Durham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Frederick Victor Palmquist, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly Road, Womack Army Cetner Mcxc-cod Credentials, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Dr. Michael W Bartoszek, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Wamc Bldg 2 Pain Clinic, 2817 Reilly Rd Stop A, Fort Bragg, NC 28310 Phone: 910-907-6542 | |
William Maxwell Fowler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 |