| Martha Mae Hensley, CRNA | |
|
1990 Holton Ave. East, Big Stone Gap, VA 24219 | |
| (276) 523-3111 | |
| Not Available |
| Full Name | Martha Mae Hensley |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1990 Holton Ave. East, Big Stone Gap, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912170424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0001106926 (Virginia) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Mae Hensley, CRNA Rr 2 Box 435, Pennington Gap, VA 24277-9645 Ph: (276) 546-1027 | Martha Mae Hensley, CRNA 1990 Holton Ave. East, Big Stone Gap, VA 24219 Ph: (276) 523-3111 |
Mrs. Patty Biles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Crystal L Hunnicutt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 423-523-3111 Fax: 423-224-3258 | |
Mary Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1980 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 |