| Mrs Deadra Maxwell, CRNA | |
|
500 J. Clyde Morris Blvd, Riverside Regional Medical Center, Newport News, VA 23601-1758 | |
| (757) 594-2000 | |
| Not Available |
| Full Name | Mrs Deadra Maxwell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 500 J. Clyde Morris Blvd, Newport News, 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 |
|---|---|---|---|
| 1760811004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 0001129491 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171441 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dogwood Anesthesia Providers Llc | 2769853084 | 158 |
| Hampton Roads Gastroenterology Pc | 5698755015 | 8 |
| American Anesthesiology Of Virginia Pc | 6800790023 | 428 |
| Entity Name | Hampton Roads Gastroenterology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871684563 PECOS PAC ID: 5698755015 Enrollment ID: O20040724000234 |
| Entity Name | Virginia Anesthesia And Perioperative Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760417281 PECOS PAC ID: 2062419377 Enrollment ID: O20061030000565 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20150529001085 |
| Entity Name | Premier Anesthesia Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deadra Maxwell, CRNA 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2921 Ph: (703) 766-9737 | Mrs Deadra Maxwell, CRNA 500 J. Clyde Morris Blvd, Riverside Regional Medical Center, Newport News, VA 23601-1758 Ph: (757) 594-2000 |
Mrs. Sparkle Mahogany Potter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 104, Newport News, VA 23606 Phone: 757-659-6285 | |
Ms. Erica R Nipper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 | |
Marsc Danielle Mertilus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 | |
David Roger Shoemaker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 Fax: 757-594-3005 | |
Ms. Connie B. Reitz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 Bernardine Dr, Newport News, VA 23602 Phone: 757-886-6755 | |
Mrs. Jennifer Laurie Esposito, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11848 Rock Landing Dr, Newport News, VA 23606 Phone: 757-591-2260 Fax: 757-591-2001 | |
Frankie R Carr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2000 |