| Brandon Heath, | |
|
977 Cleghorn Valley Rd, Marion, VA 24354-6076 | |
| (276) 780-6792 | |
| Not Available |
| Full Name | Brandon Heath |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 977 Cleghorn Valley Rd, Marion, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851078950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 0001270927 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024189222 (Virginia) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Heath, 977 Cleghorn Valley Rd, Marion, VA 24354-6076 Ph: () - | Brandon Heath, 977 Cleghorn Valley Rd, Marion, VA 24354-6076 Ph: (276) 780-6792 |
Mr. Antonio Delarosa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 | |
Stephanie Pollard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1245 | |
Hillary Brooke Rosenfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 | |
Suzanne Bullard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1194 |