| Lyza J Anderson, CRNA | |
|
242 9th Avenue Dr Ne, Hickory, NC 28601-3828 | |
| (828) 322-7305 | |
| Not Available |
| Full Name | Lyza J Anderson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 242 9th Avenue Dr Ne, Hickory, North Carolina |
| 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 |
|---|---|---|---|
| 1861613119 | NPI | - | NPPES |
| 082191424A | Other | GA | PEACHSTATE CMO- MCCG |
| 082191424A | Medicaid | GA | |
| 344382 | Other | GA | WELLCARE CMO - MCCG |
| P00088939 | Other | GA | RAILROAD MCR - MCCG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN144880 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201508616CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Anesthesia Llc | 2860662996 | 28 |
| Anesthetic Solutions Inc | 4587901129 | 6 |
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 187 |
| Entity Name | Metropolitan Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720387954 PECOS PAC ID: 2860662996 Enrollment ID: O20110829000644 |
| Entity Name | Complete Anesthesia Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932464492 PECOS PAC ID: 7214187210 Enrollment ID: O20121029000661 |
| Entity Name | Anesthetic Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477022259 PECOS PAC ID: 4587901129 Enrollment ID: O20190121001182 |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyza J Anderson, CRNA 1100 Troon Rd, Lake Oswego, OR 97034-2836 Ph: (404) 918-9019 | Lyza J Anderson, CRNA 242 9th Avenue Dr Ne, Hickory, NC 28601-3828 Ph: (828) 322-7305 |
Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371 | |
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 |