| Jessica Marie Burnside, CRNA | |
|
812 Gorman Ave, Elkins, WV 26241-3181 | |
| (304) 637-3300 | |
| Not Available |
| Full Name | Jessica Marie Burnside |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 812 Gorman Ave, Elkins, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982948741 | NPI | - | NPPES |
| 3810030100 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 88041 (West Virginia) | Primary |
| Entity Name | Davis Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
| Entity Name | Riverside Anesthesia Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578946596 PECOS PAC ID: 3072828193 Enrollment ID: O20230606001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Burnside, CRNA 812 Gorman Ave, Elkins, WV 26241-3181 Ph: (304) 637-3300 | Jessica Marie Burnside, CRNA 812 Gorman Ave, Elkins, WV 26241-3181 Ph: (304) 637-3300 |
Louisa J Blair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3534 | |
Robert Adam Burnside, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3435 | |
Mrs. Stephanie D Ruud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3435 | |
Matthew Perry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3435 | |
Mr. Keith Wade Spraberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3435 | |
Mrs. Michelle M Purdy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 Fax: 304-637-3435 | |
Cameron Kevin Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 812 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 |