| Mr Spencer R Gardner, CRNA | |
|
1336 Five Cent Rd, Williamston, NC 27892-8412 | |
| (252) 343-6677 | |
| Not Available |
| Full Name | Mr Spencer R Gardner |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1336 Five Cent Rd, Williamston, 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 |
|---|---|---|---|
| 1366453185 | NPI | - | NPPES |
| 8051543 | Medicaid | NC |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina Health - Chowan Inc | 4880507938 | 6 |
| Entity Name | East Carolina Health - Chowan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700864980 PECOS PAC ID: 4880507938 Enrollment ID: O20031106000205 |
| Entity Name | East Carolina Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093793473 PECOS PAC ID: 9739092727 Enrollment ID: O20031106000386 |
| Entity Name | Williamston Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811990443 PECOS PAC ID: 6709790082 Enrollment ID: O20031119000708 |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Granville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040301000909 |
| Entity Name | Nash Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003881822 PECOS PAC ID: 4284521568 Enrollment ID: O20040416000486 |
| 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 | Carteret County General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760479331 PECOS PAC ID: 7517877517 Enrollment ID: O20040901001048 |
| Entity Name | Onslow Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689855900 PECOS PAC ID: 1456252899 Enrollment ID: O20041221000112 |
| Entity Name | Atlantic Gastroenterology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740238435 PECOS PAC ID: 6507897022 Enrollment ID: O20050824001057 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Atlantic Gastroenterology Endoscopy |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1235189739 PECOS PAC ID: 4082611785 Enrollment ID: O20061020000512 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Entity Name | Raleigh Sedation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639698533 PECOS PAC ID: 1254698624 Enrollment ID: O20171121000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Spencer R Gardner, CRNA 1336 Five Cent Rd, Williamston, NC 27892-8412 Ph: (252) 343-6677 | Mr Spencer R Gardner, CRNA 1336 Five Cent Rd, Williamston, NC 27892-8412 Ph: (252) 343-6677 |
Timmy Howard Barber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 310 S Mccaskey Rd, Williamston, NC 27892 Phone: 865-694-6919 Fax: 865-694-4339 |