| Jan Hetherington, CRNA | |
|
10751 Falls Rd, Falls Road Concourse Suite 425, Lutherville, MD 21093-4517 | |
| (410) 583-2760 | |
| Not Available |
| Full Name | Jan Hetherington |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 47 Years |
| Location | 10751 Falls Rd, Lutherville, Maryland |
| 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 |
|---|---|---|---|
| 1538219084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 34208 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Endoscopy Anesthesia Llc | 6002117900 | 6 |
| Entity Name | Maryland Endoscopy Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366818411 PECOS PAC ID: 6002117900 Enrollment ID: O20151218000689 |
| Entity Name | Jht Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790907871 PECOS PAC ID: 1658678537 Enrollment ID: O20160321000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Hetherington, CRNA 6009 N Charles St, Baltimore, MD 21212-2201 Ph: (410) 372-0563 | Jan Hetherington, CRNA 10751 Falls Rd, Falls Road Concourse Suite 425, Lutherville, MD 21093-4517 Ph: (410) 583-2760 |
Mitchel Markins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1533 Charmuth Rd, Lutherville, MD 21093 Phone: 410-832-5775 | |
Mr. Stephen Wesley Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10751 Falls Rd, Suite 425, Lutherville, MD 21093 Phone: 410-583-2760 Fax: 410-583-2759 | |
Mr. Herbert Ralph Zinder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1205 York Rd, Ste 390, Lutherville, MD 21093 Phone: 410-825-6652 Fax: 410-825-6654 |