| Mrs Amazing-grace Ighedo, | |
|
Reston Hospital Center, 607 Herndon Parkway Suite 101, Reston, VA 20171 | |
| (703) 471-0919 | |
| Not Available |
| Full Name | Mrs Amazing-grace Ighedo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | Reston Hospital Center, Reston, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508600362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001309826 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024190753 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reston Anesthesia Associates Pc | 2567361124 | 45 |
| Anesthesia Company Llc | 4587559026 | 308 |
| Entity Name | Reston Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210093 PECOS PAC ID: 2567361124 Enrollment ID: O20040102000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amazing-grace Ighedo, 23632 Sailfish Sq, Brambleton, VA 20148-7633 Ph: (515) 305-6365 | Mrs Amazing-grace Ighedo, Reston Hospital Center, 607 Herndon Parkway Suite 101, Reston, VA 20171 Ph: (703) 471-0919 |
Sarah Katharina Jungnitsch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 Phone: 703-689-9000 | |
John M Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 | |
Amy M Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 | |
Judith S Carter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1860 Town Center Pkwy, #g100 Reston Surgery Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Mae B Barbera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Joette Dorosheff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Kelly L Pashke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 |