| Kellie T Shanholtz, CRNA | |
|
1840 Amherst St, Winchester, VA 22601-2808 | |
| (540) 536-8000 | |
| (540) 536-7681 |
| Full Name | Kellie T Shanholtz |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1840 Amherst St, Winchester, Virginia |
| 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 |
|---|---|---|---|
| 1659347524 | NPI | - | NPPES |
| 2604151000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AC002767 (Maryland) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024134809 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Hospital Inc | 3375444524 | 95 |
| Entity Name | Jefferson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891722377 PECOS PAC ID: 0446151989 Enrollment ID: O20040116000736 |
| Entity Name | City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942503164 PECOS PAC ID: 3375444524 Enrollment ID: O20040120000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie T Shanholtz, CRNA 1840 Amherst St, Winchester, VA 22601-2808 Ph: (540) 536-8000 | Kellie T Shanholtz, CRNA 1840 Amherst St, Winchester, VA 22601-2808 Ph: (540) 536-8000 |
Joel A Rhodes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 Fax: 540-536-7780 | |
Opeoluwa Ajibike, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 878 Fox Dr, Winchester, VA 22603 Phone: 540-662-8336 Fax: 540-662-8593 | |
Amy Giesey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 | |
Benjamin Hartland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 | |
Soon N Whang, M.D. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 Fax: 540-536-7681 | |
Kathy S Wotring, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 Fax: 540-536-7780 | |
Mark Patrick Garton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-8000 |