| Jonathan Banning Spivey, CRNA | |
|
800 Tilghman Dr, Dunn, NC 28334-5510 | |
| (910) 892-1000 | |
| Not Available |
| Full Name | Jonathan Banning Spivey |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 800 Tilghman Dr, Dunn, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891849469 | NPI | - | NPPES |
| 8051809 | Medicaid | NC | |
| P00284830 | Other | NC | RAILROAD-MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 001626 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Betsy Johnson Regional Hospital | Dunn, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of North Carolina Pllc | 2961316450 | 322 |
| Entity Name | Harnett Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386121929 PECOS PAC ID: 6204748544 Enrollment ID: O20031104000526 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Banning Spivey, CRNA Po Box 18139, Raleigh, NC 27619-8139 Ph: () - | Jonathan Banning Spivey, CRNA 800 Tilghman Dr, Dunn, NC 28334-5510 Ph: (910) 892-1000 |
Brittney Surles Chananie, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 | |
Jesse Raymond Tucker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 Fax: 910-891-6032 | |
Laura Head Lambert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 Fax: 910-891-6032 | |
Jacqueline Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 Fax: 910-891-6032 | |
Judith E Galbraith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 | |
Clarence Davenport Utz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1000 Fax: 910-891-6032 |