| Mrs Heather Goodwyn, CRNA | |
|
1370 W D St, North Wilkesboro, NC 28659-3506 | |
| (336) 651-8100 | |
| Not Available |
| Full Name | Mrs Heather Goodwyn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1370 W D St, North Wilkesboro, 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 |
|---|---|---|---|
| 1831599208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 224279 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024178970 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Virginia Pc | 6800790023 | 428 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Goodwyn, CRNA 132 Ivy Glen Ct, Winston Salem, NC 27127-4501 Ph: (336) 601-1580 | Mrs Heather Goodwyn, CRNA 1370 W D St, North Wilkesboro, NC 28659-3506 Ph: (336) 651-8100 |
Mr. Joshua Isaac Troyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 336-651-8134 | |
John Joseph Riedel Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 | |
Ms. Michelle Cornwell Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8500 | |
Mr. Jason Eugene Yockey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 | |
Sandy Stewart Casey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8523 Fax: 336-651-8531 |