| Brenda G Hensley, CRNA | |
|
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
| (304) 766-3600 | |
| Not Available |
| Full Name | Brenda G Hensley |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 49 Years |
| Location | 4605 Maccorkle Ave Sw, South Charleston, West 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 |
|---|---|---|---|
| 1588688071 | NPI | - | NPPES |
| 001720710 | Other | WV | WV BLUE CROSS PROVIDER # |
| 550696369 | Other | WV | WV WORKERS PROVIDER # |
| 0069102000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 047230 (West Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 05000 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beach Anesthesia, Llc | 6103924014 | 77 |
| Under Anesthesia | 6901083724 | 7 |
| 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 | Under Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194018242 PECOS PAC ID: 6901083724 Enrollment ID: O20110603000459 |
| 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 | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20150127000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda G Hensley, CRNA 331 Laidley St, Suite 606, Charleston, WV 25301-1619 Ph: (304) 344-0096 | Brenda G Hensley, CRNA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 |
Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468 | |
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088 | |
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 |