| Mr David Owen Dick, CRNA | |
|
1504 Cornwell Ln, Virginia Beach, VA 23454-2517 | |
| (757) 496-2419 | |
| (757) 496-2419 |
| Full Name | Mr David Owen Dick |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1504 Cornwell Ln, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740234020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Virginia) | Primary |
| Entity Name | Tidewater Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063583722 PECOS PAC ID: 2264485713 Enrollment ID: O20050224000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Owen Dick, CRNA 1504 Cornwell Ln, Virginia Beach, VA 23454-2517 Ph: (757) 496-2419 | Mr David Owen Dick, CRNA 1504 Cornwell Ln, Virginia Beach, VA 23454-2517 Ph: (757) 496-2419 |
Mary Sharon Clements, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 134 Business Park Dr, Virginia Beach, VA 23462 Phone: 757-473-0055 | |
Anne Dunham Rudolph, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2540 Penshurst Way, Virginia Beach, VA 23456 Phone: 757-427-1099 | |
Ms. Luree S Holt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 465 N Great Neck Rd, Virginia Beach, VA 23454 Phone: 757-625-6873 | |
Heidi Lerner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-8369 | |
Ms. Elizabeth P. O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1925 Glenn Mitchell Drive, Suite 102, Gastroenterology Consultants, Virginia Beach, VA 23456 Phone: 757-464-1644 Fax: 703-563-6256 | |
Susan Murrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000 | |
Mrs. Bonita Keaveny Doyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 134 Business Park Dr, Virginia Beach, VA 23462 Phone: 757-473-0055 |