| Miss Stephanie Leigh Carroll, CRNA | |
|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
| (704) 355-8983 | |
| (704) 355-8994 |
| Full Name | Miss Stephanie Leigh Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982631099 | NPI | - | NPPES |
| 8052223 | Medicaid | NC | |
| NAN674 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 178668 (North Carolina) | Primary |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Stephanie Leigh Carroll, CRNA Po Box 32861, Anesthesia Services - 5th Fl Surgery Tower, Charlotte, NC 28232-2861 Ph: (704) 355-8983 | Miss Stephanie Leigh Carroll, CRNA 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-8983 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 | |
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 |