| David P Carelock, CRNA | |
|
10 Woodland Rd, Saint Helena, CA 94574-9554 | |
| (707) 963-3611 | |
| (254) 200-4090 |
| Full Name | David P Carelock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 10 Woodland Rd, Saint Helena, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790773596 | NPI | - | NPPES |
| 006844701 | Medicaid | TX | |
| 00C073M | Other | TX | BLUE CROSS BLUE SHIELD |
| 109873101 | Other | TX | FIRSTCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 637274 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA3375 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Helena Hospital | 8729059878 | 70 |
| Entity Name | St. Helena Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
| Entity Name | Lyons Huber Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
| Mailing Address | Practice Location Address |
|---|---|
| David P Carelock, CRNA Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | David P Carelock, CRNA 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (707) 963-3611 |
Lea Hetland, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611 Fax: 707-967-5622 | |
Joshua Wayne Caleb Toppenberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Marissa Stein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Lucian Toma, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Mr. Scott A Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Road, Saint Helena, CA 94574 Phone: 707-963-3611 | |
Shelby Nicole Simpson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 817-301-6717 |