| Dr Caroline Revell, | |
|
3643 N Roxboro St, Durham, NC 27704 | |
| (919) 479-6193 | |
| Not Available |
| Full Name | Dr Caroline Revell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3643 N Roxboro St, Durham, North Carolina |
| 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 |
|---|---|---|---|
| 1487166930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 266819 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11008232 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tenet Florida Physician Services Llc | 0345349478 | 125 |
| Anesthesiology Associates Of Tallahassee Inc | 3476446014 | 122 |
| Ams National Llc | 3870813025 | 240 |
| Tallahassee Neurological Clinic | 9032015946 | 32 |
| Entity Name | Tallahassee Neurological Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982660569 PECOS PAC ID: 9032015946 Enrollment ID: O20031211000061 |
| Entity Name | Anesthesiology Associates Of Tallahassee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922772037 PECOS PAC ID: 3476446014 Enrollment ID: O20040206000050 |
| Entity Name | Madison County Hospital Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104821461 PECOS PAC ID: 2860474111 Enrollment ID: O20040602000398 |
| Entity Name | Tenet Florida Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659417467 PECOS PAC ID: 0345349478 Enrollment ID: O20080129000575 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caroline Revell, 4096 Faulkner Ln, Tallahassee, FL 32311-1676 Ph: () - | Dr Caroline Revell, 3643 N Roxboro St, Durham, NC 27704 Ph: (919) 479-6193 |
Cara Nicole Adams, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Duke University, Durham, NC 27710 Phone: 919-684-4248 | |
Christine A Eaton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Erwin Rd, Durham, NC 27710 Phone: 919-684-3595 | |
Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Cindy Black, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Donald Moede, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Hannah H Bost, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 | |
Jacob Hollenbeck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-4000 |