| Denise Harbin Drace, CRNA | |
|
995 9th Ave Sw, Bessemer, AL 35022-4527 | |
| (205) 481-7670 | |
| Not Available |
| Full Name | Denise Harbin Drace |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 995 9th Ave Sw, Bessemer, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982709994 | NPI | - | NPPES |
| 051558411 | Medicaid | AL | |
| R63221 | Other | AL | VIVA HEALTH |
| 051005185 | Other | AL | BLUE CROSS |
| 721608375 | Other | AL | MEDICARE COMPLETE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-029842 (Alabama) | Primary |
| Entity Name | Varicosity Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114968575 PECOS PAC ID: 3678541596 Enrollment ID: O20040920000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Harbin Drace, CRNA Po Box 11407, Birmingham, AL 35246-0777 Ph: (205) 481-7670 | Denise Harbin Drace, CRNA 995 9th Ave Sw, Bessemer, AL 35022-4527 Ph: (205) 481-7670 |
Keith Joseph Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7670 | |
Johnny V Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7670 | |
Larry Wayne Ruff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7670 | |
David W Devine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7000 | |
James Warren Ballard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7670 | |
Ms. Patsy Ann Langford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-8729 Fax: 205-481-8732 | |
John Kevin Ewing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 995 9th Ave Sw, Bessemer, AL 35022 Phone: 205-481-7670 |