| Mr Brett A Shepherd, | |
|
628 E 12th St, Washington, NC 27889-3409 | |
| (252) 975-4100 | |
| (252) 948-4829 |
| Full Name | Mr Brett A Shepherd |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 628 E 12th St, Washington, 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 |
|---|---|---|---|
| 1811091598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 053053 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Outer Banks Hospital Inc | 0345149290 | 7 |
| Pitt County Memorial Hospital Inc | 5991615445 | 6 |
| Entity Name | East Carolina Health - Heritage Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194703884 PECOS PAC ID: 4789582594 Enrollment ID: O20040702000525 |
| Entity Name | The Outer Banks Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874102 PECOS PAC ID: 0345149290 Enrollment ID: O20050119001045 |
| Entity Name | Pitt County Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528704004 PECOS PAC ID: 5991615445 Enrollment ID: O20220811002268 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brett A Shepherd, 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 975-4100 | Mr Brett A Shepherd, 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 975-4100 |
Mr. Robert L Poston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-948-4829 | |
Lisa A Ulmer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-948-4829 | |
Mr. Eddie S Cournoyer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-948-4829 | |
Constance P Rencsok, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-948-4829 | |
Ms. Charlotte M Burian, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-949-4829 |