| Mr Macon O'brian Mcclease Sr, CRNA | |
|
600 Gresham Dr, Norfolk, VA 23507-1904 | |
| (757) 473-0055 | |
| (757) 473-0075 |
| Full Name | Mr Macon O'brian Mcclease Sr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Location | 600 Gresham Dr, Norfolk, Virginia |
| 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 |
|---|---|---|---|
| 1952818684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024175722 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake General Hospital, Chesapeake Reg Mc | Chesapeake, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Anesthesia, Inc | 4587562152 | 177 |
| Northstar Anesthesia Of Virginia, Llc | 6608268826 | 407 |
| Entity Name | Atlantic Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720181514 PECOS PAC ID: 4587562152 Enrollment ID: O20031222000273 |
| Entity Name | Smg Anesthesia Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Entity Name | Ambulatory Anesthesia Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720192230 PECOS PAC ID: 2264320829 Enrollment ID: O20220215002595 |
| Entity Name | Northstar Anesthesia of Virginia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Macon O'brian Mcclease Sr, CRNA 134 Business Park Ave, Va Beach, VA 23462-2626 Ph: (757) 473-0055 | Mr Macon O'brian Mcclease Sr, CRNA 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 473-0055 |
Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 |
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 |
Amy Leigh Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 |
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 |
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 |
Sharon Myrick Pecoraro, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 434-594-5269 |
Allison Crute, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 |