| Mrs Ashley Nicole O'donnell, AA | |
|
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1436 | |
| Not Available |
| Full Name | Mrs Ashley Nicole O'donnell |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225471691 | NPI | - | NPPES |
| P01290216 | Other | TX | RAILROAD MEDICARE |
| Q784289476 | Other | SC | SC MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 84 (South Carolina) | Primary |
| Entity Name | Trident Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ashley Nicole O'donnell, AA Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838 | Mrs Ashley Nicole O'donnell, AA 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1436 |
Jordan Moeller, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Kathryn L Childress, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Katherine E Ali, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Robert Converse, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Erin Alene Grevey, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Mrs. Shanna Y Trahan, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 |