| Amber Lynne Henderson, CRNA | |
|
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1436 | |
| (843) 402-1833 |
| Full Name | Amber Lynne Henderson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
| 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 |
|---|---|---|---|
| 1316054836 | NPI | - | NPPES |
| 2602523000 | Medicaid | WV | |
| AN2706 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 21151 (South Carolina) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 52671 (West Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimum Anesthesia | 9638326432 | 62 |
| Low Country Anesthesia, Pa | 8729063797 | 64 |
| Entity Name | Palmetto Anesthesia And Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748356 PECOS PAC ID: 1153218268 Enrollment ID: O20040303000388 |
| Entity Name | Low Country Anesthesia, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417928268 PECOS PAC ID: 8729063797 Enrollment ID: O20040623000371 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Entity Name | Optimum Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851656854 PECOS PAC ID: 9638326432 Enrollment ID: O20250425001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Lynne Henderson, CRNA Po Box 632509, Cincinnati, OH 45263-2508 Ph: (803) 765-1838 | Amber Lynne Henderson, CRNA 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1436 |
Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Rebecca Leeann Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547 | |
Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564 | |
Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746 | |
Mrs. Tammie Ann Stahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |