| Mr Terry Richard Dickinson, CRNA | |
|
9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (571) 231-3224 | |
| (254) 286-7326 |
| Full Name | Mr Terry Richard Dickinson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9300 Dewitt Loop, Fort Belvoir, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952587537 | NPI | - | NPPES |
| Entity Name | Old Dominion Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Richard Dickinson, CRNA 9201 Macswain Pl, Springfield, VA 22153-3904 Ph: (808) 779-9290 | Mr Terry Richard Dickinson, CRNA 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224 |
Mrs. Constance Louise Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2890 | |
Mrs. Connie Jean Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0004 | |
Christopher Joseph Grey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Mr. Vincent Bernard Bogan, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060 Phone: 703-805-0342 Fax: 703-805-0731 | |
Jennifer Hughes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 602-653-3578 | |
David Alden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Jacob Macgregor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-4578 |