| Heidi M Dereski, CRNA | |
|
601 Childrens Ln, Norfolk, VA 23507-1910 | |
| (757) 668-7320 | |
| (757) 668-9735 |
| Full Name | Heidi M Dereski |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 601 Childrens Ln, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851698542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024169195 (Virginia) | Primary |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi M Dereski, CRNA Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200 | Heidi M Dereski, CRNA 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7320 |
Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Teresa Cousins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Jennifer D Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Allen Mesick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 |