| Mary Fitzgerald, CRNA | |
|
1906 Belleview Ave Se, Roanoke, VA 24014-1838 | |
| (540) 981-7000 | |
| Not Available |
| Full Name | Mary Fitzgerald |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 48 Years |
| Location | 1906 Belleview Ave Se, Roanoke, 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 |
|---|---|---|---|
| 1700842044 | NPI | - | NPPES |
| 8940649 | Medicaid | VA | |
| 8940720 | Medicaid | VA | |
| 8940657 | Medicaid | VA | |
| 8940631 | Medicaid | VA | |
| 8940711 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001-052910 (Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024-052910 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roanoke Valley Center For Sight, Llc | 0345219085 | 12 |
| Carilion Professional Services Llc | 2163323999 | 60 |
| Entity Name | Valley Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746 |
| Entity Name | Carilion Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184634156 PECOS PAC ID: 2163323999 Enrollment ID: O20040115000710 |
| Entity Name | Anesthesiology Associates Of Radford Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407878465 PECOS PAC ID: 0941192272 Enrollment ID: O20040330000012 |
| Entity Name | Roanoke Valley Center For Sight, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245502913 PECOS PAC ID: 0345219085 Enrollment ID: O20040929000334 |
| Entity Name | Blue Ridge Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346410727 PECOS PAC ID: 1355411372 Enrollment ID: O20080603000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Fitzgerald, CRNA 416 High St, Salem, VA 24153-3946 Ph: () - | Mary Fitzgerald, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000 |
Jessica Hallam, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-982-8201 Fax: 540-224-1059 | |
Mrs. Stacie Marie Hogan, BSN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3142 Brambleton Ave, Roanoke, VA 24018 Phone: 540-200-8662 | |
Julie Anne Snyder Amoroso, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-985-8505 Fax: 540-344-3313 | |
Isabel Ann Tumminello, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 102 Highland Ave Se Ste 303, Roanoke, VA 24013 Phone: 540-985-9715 | |
Timothy Kostura, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Amy Irene Lucas, MSN, RN, CCNS, CCRNK Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se Ofc, 8w Cns Office, Roanoke, VA 24014 Phone: 540-224-2515 | |
Robert Knowles, M.D. Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 101 Elm Ave Se, Roanoke, VA 24013 Phone: 540-224-4325 Fax: 540-224-4399 |