| Amelia Lisette Fernald, CRNA | |
|
3100 Spring Forest Rd, Raleigh, NC 27616-2880 | |
| (919) 882-0705 | |
| (919) 873-9821 |
| Full Name | Amelia Lisette Fernald |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 3100 Spring Forest Rd, Raleigh, North 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 |
|---|---|---|---|
| 1457590523 | NPI | - | NPPES |
| 1457590523 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024168187 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
| Novant Prince William Medical Center | Manassas, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Virginia Pc | 6800790023 | 428 |
| American Anesthesiology Of Virginia Pc | 6800790023 | 428 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210305001705 |
| Entity Name | Virginia Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881205144 PECOS PAC ID: 9638587736 Enrollment ID: O20210408001826 |
| Entity Name | Old Dominion Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Lisette Fernald, CRNA 3100 Spring Forest Rd, Raleigh, NC 27616-2880 Ph: (919) 882-0705 | Amelia Lisette Fernald, CRNA 3100 Spring Forest Rd, Raleigh, NC 27616-2880 Ph: (919) 882-0705 |
Eric Linton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Brianne V Schreiber, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613 Phone: 330-503-7009 | |
Carol Goodson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607 Phone: 919-781-4311 | |
Christopher Michael Lamers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Donna Ransom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 | |
Douglas Sanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Angela L Kinmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 |