Mr Matthew Heeden, CRNA | |
1211 Virginia St, Greensboro, NC 27401-1313 | |
(336) 478-2666 | |
Not Available |
Full Name | Mr Matthew Heeden |
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Gender | Male |
Speciality | Registered Nurse |
Location | 1211 Virginia St, Greensboro, 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 |
---|---|---|---|
1093098774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 211948 (North Carolina) | Primary |
Entity Name | Gate City Anesthesia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225135361 PECOS PAC ID: 8820089329 Enrollment ID: O20040522000317 |
Mailing Address | Practice Location Address |
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Mr Matthew Heeden, CRNA 21a Oak Branch Dr, Greensboro, NC 27407-2145 Ph: (336) 478-2666 | Mr Matthew Heeden, CRNA 1211 Virginia St, Greensboro, NC 27401-1313 Ph: (336) 478-2666 |
Judy Southern, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 E Wendover Ave, Greensboro, NC 27405 Phone: 336-641-3712 Fax: 336-641-6603 | |
Stacey S. Tuxbury, C.N.P. Registered Nurse Medicare: Medicare Enrolled Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 614-214-1161 | |
Janell Jennette, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1203 Maple St, Greensboro, NC 27405 Phone: 336-641-6345 | |
Surrie Mcneill, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 E Wendover Ave, Greensboro, NC 27405 Phone: 336-641-6251 | |
Chrisha Jones, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1121 N Church St, Greensboro, NC 27401 Phone: 919-407-0693 | |
Kori Lynn Welch, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1203 Maple St, Greensboro, NC 27405 Phone: 336-641-6193 | |
Laura Schuster Powell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1203 Maple St, Greensboro, NC 27405 Phone: 336-641-7777 Fax: 336-641-6971 |