| Deborah Street, CRNA | |
|
150 Memorial Dr, Kingwood, WV 26537-1141 | |
| (304) 329-1400 | |
| Not Available |
| Full Name | Deborah Street |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 150 Memorial Dr, Kingwood, 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 |
|---|---|---|---|
| 1700034170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 59126 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals, Inc | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1974 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Preston Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
| Entity Name | Preston Memorial Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013950054 PECOS PAC ID: 5294645107 Enrollment ID: O20100917001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Street, CRNA 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400 | Deborah Street, CRNA 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400 |
Jamie Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-1400 Fax: 304-329-1175 |
Dr. Preston Woodburn-camp, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 150 Memorial Dr # A, Kingwood, WV 26537 Phone: 304-329-1400 |