| Amanda Dillen, | |
|
1906 Belleview Ave Se, Roanoke, VA 24014-1838 | |
| (540) 853-0222 | |
| Not Available |
| Full Name | Amanda Dillen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1906 Belleview Ave Se, Roanoke, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316335300 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Raleigh General Hospital | Beckley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Hospitalist Medicine Physicians Of West Virginia - South Charleston | 7911437603 | 23 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140718000290 |
| Entity Name | East River Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740711795 PECOS PAC ID: 2961770169 Enrollment ID: O20170612002178 |
| Entity Name | Hospitalist Medicine Physicians Of West Virginia - South Charleston |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063228120 PECOS PAC ID: 7911437603 Enrollment ID: O20250211001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dillen, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Amanda Dillen, 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 853-0222 |
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222 | |
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Miss Soyini Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-494-4897 | |
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 | |
Mr. Harrison Johnston Shull Iii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363 | |
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 |