| David Van Zandt Hesley-hernandez, CRNA | |
|
960 Avent Dr, Grenada, MS 38901-5230 | |
| (903) 746-5363 | |
| Not Available |
| Full Name | David Van Zandt Hesley-hernandez |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 960 Avent Dr, Grenada, Mississippi |
| 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 |
|---|---|---|---|
| 1578290136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 872659 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 71231 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Espanola Hospital | Espanola, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Netherlands Anesthesia, Llc | 8123433588 | 33 |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Entity Name | Netherlands Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922603562 PECOS PAC ID: 8123433588 Enrollment ID: O20210216003117 |
| Mailing Address | Practice Location Address |
|---|---|
| David Van Zandt Hesley-hernandez, CRNA 22 Campbell Scenic Dr Apt 4423, Hattiesburg, MS 39401-4068 Ph: (903) 746-5363 | David Van Zandt Hesley-hernandez, CRNA 960 Avent Dr, Grenada, MS 38901-5230 Ph: (903) 746-5363 |
Robert Keith Dubard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7000 Fax: 662-227-7572 | |
Kaleb Smith, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7000 |