| Carla Y Tracy, CRNA | |
|
58 Brookshire Ln, Beckley, WV 25801-6765 | |
| (301) 252-4900 | |
| (304) 252-8470 |
| Full Name | Carla Y Tracy |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 58 Brookshire Ln, Beckley, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871669432 | NPI | - | NPPES |
| 001720741 | Other | WV | BCBS |
| 2605295000 | Medicaid | WV | |
| 2378154 | Medicaid | OH | |
| 74005778 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 50590 (West Virginia) | Primary |
| Entity Name | Sage Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609584614 PECOS PAC ID: 8123499183 Enrollment ID: O20230130002153 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Y Tracy, CRNA 5818 County Road 6, Kitts Hill, OH 45645-8813 Ph: (304) 638-0295 | Carla Y Tracy, CRNA 58 Brookshire Ln, Beckley, WV 25801-6765 Ph: (301) 252-4900 |
Anita Coleman Law, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 Fax: 606-574-8013 | |
Cynthia L Kappler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Harper Rd, Beckley, WV 25801 Phone: 304-256-4100 Fax: 954-851-1758 | |
Mrs. April J. Gwinn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 Fax: 606-574-8013 | |
Ms. Cynthia Delphane Barker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 | |
Kristi Ann Shrewsbury, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Harper Road, Beckley, WV 25801 Phone: 304-256-4100 Fax: 954-858-0116 | |
Llew Alan Crowder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 306 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3000 | |
Maria A Snuffer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1710 Harper Rd, Beckley, WV 25801 Phone: 800-277-8151 |