| Kevin James Maltais, CRNA | |
|
568 Ruin Creek Rd, Suite 105, Henderson, NC 27536-2880 | |
| (252) 436-1380 | |
| (252) 436-1851 |
| Full Name | Kevin James Maltais |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 43 Years |
| Location | 568 Ruin Creek Rd, Henderson, 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 |
|---|---|---|---|
| 1447346499 | NPI | - | NPPES |
| 8051607 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024167055 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 181612 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msc Anesthesia Inc | 7517912579 | 18 |
| Entity Name | Msc Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073504346 PECOS PAC ID: 7517912579 Enrollment ID: O20050314000393 |
| Entity Name | Floridian Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598391195 PECOS PAC ID: 2860811536 Enrollment ID: O20200929003144 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin James Maltais, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Kevin James Maltais, CRNA 568 Ruin Creek Rd, Suite 105, Henderson, NC 27536-2880 Ph: (252) 436-1380 |
Jennifer Hope Roark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd., Po Drawer 59, Henderson, NC 27536 Phone: 252-438-4143 | |
Jacob Keith Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1540 | |
Tami B May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-4565 | |
Nancy Ashe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 568 Ruin Creek Rd, Suite 105, Henderson, NC 27536 Phone: 252-436-1380 Fax: 252-436-1581 | |
Jonathan Andrew Sawers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1148 |