| Debra Kay Kidd, CRNA | |
|
7 Independence Pt Ste 300, Greenville, SC 29615-4569 | |
| (864) 522-3700 | |
| (864) 522-3705 |
| Full Name | Debra Kay Kidd |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 7 Independence Pt Ste 300, Greenville, South 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 |
|---|---|---|---|
| 1407929771 | NPI | - | NPPES |
| 000000644238 | Other | OH | ANTHEM |
| AN0931 | Medicaid | SC | |
| 2603159000 | Medicaid | WV | |
| 000000573847 | Other | OH | ANTHEM |
| 260315900 | Medicaid | WV | |
| P00703818 | Other | OH | RRMCR |
| 2884080 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Prisma Health Greer Memorial Hospital | Greer, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Prisma Health-upstate |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Kay Kidd, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Debra Kay Kidd, CRNA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Caroline Marvin Bedingfield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111 | |
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441 | |
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286 |