| Carolyn W Herndon, CRNA | |
|
1000 W Hamlet Ave, Hamlet, NC 28345-4522 | |
| (910) 205-0400 | |
| (910) 205-7796 |
| Full Name | Carolyn W Herndon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 52 Years |
| Location | 1000 W Hamlet Ave, Hamlet, 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 |
|---|---|---|---|
| 1124060777 | NPI | - | NPPES |
| NAN332 | Medicaid | SC | |
| 8051258 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 39775 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Anesthesia Associates Pa | 1456251057 | 62 |
| Carolina Regional Anesthesia Pllc | 5496921769 | 47 |
| Carolina Anesthesia Associates Pa | 1456251057 | 62 |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn W Herndon, CRNA Po Box 1227, Hamlet, NC 28345-1227 Ph: (910) 205-7775 | Carolyn W Herndon, CRNA 1000 W Hamlet Ave, Hamlet, NC 28345-4522 Ph: (910) 205-0400 |
Donald H Parke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hamlet Ave, Hamlet, NC 28345 Phone: 910-205-8909 Fax: 910-205-8952 | |
Terreasa Lorraine Farmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Hamlet Ave, Hamlet, NC 28345 Phone: 910-205-8245 Fax: 910-205-8164 | |
Katherine Elizabeth Luebke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hamlet Ave, Hamlet, NC 28345 Phone: 910-205-0400 Fax: 910-205-7796 | |
Douglas Fryar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hamlet Ave, Hamlet, NC 28345 Phone: 910-205-8245 Fax: 910-205-8164 |