| Detty Thomas Johnson, | |
|
8505 Newberry Grove Dr, Apex, NC 27539-7970 | |
| (919) 670-7547 | |
| Not Available |
| Full Name | Detty Thomas Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 8505 Newberry Grove Dr, Apex, North 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 |
|---|---|---|---|
| 1063927549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 251930 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rex Hospital | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of North Carolina Pllc | 2961316450 | 322 |
| East Carolina Anesthesia Associates Pllc | 5092720813 | 578 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Regional Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Detty Thomas Johnson, 8505 Newberry Grove Dr, Apex, NC 27539-7970 Ph: (919) 670-7547 | Detty Thomas Johnson, 8505 Newberry Grove Dr, Apex, NC 27539-7970 Ph: (919) 670-7547 |
Mr. James Donald Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Holland Rd, Apex, NC 27502 Phone: 919-303-0339 Fax: 919-303-4793 | |
Mr. Robert L. Morris, MD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 S Hughes St, Apex, NC 27502 Phone: 919-387-9747 Fax: 919-387-9747 | |
Mr. Bryan Aloysius Carrico, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 622 Eyam Hall Ln, Apex, NC 27502 Phone: 786-797-9911 Fax: 919-578-1511 | |
Ronald Kevin Mook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 231 Constitution Ct, Apex, NC 27523 Phone: 919-454-3864 | |
Desirae V Flitcroft, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1972 Old Byre Way, Apex, NC 27502 Phone: 919-824-2427 Fax: 919-367-8001 |