| Mrs Jennifer Peacock Grow, CRNA | |
|
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
| (703) 776-4001 | |
| Not Available |
| Full Name | Mrs Jennifer Peacock Grow |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3300 Gallows Rd, Falls Church, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790118255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001237125 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171482 (Virginia) | Primary |
| Entity Name | Maple Gate Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528072709 PECOS PAC ID: 8022913839 Enrollment ID: O20031204000851 |
| Entity Name | Eastern Niagara Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902913098 PECOS PAC ID: 6901895002 Enrollment ID: O20040512000175 |
| Entity Name | Buffalo Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1508863242 PECOS PAC ID: 9032151261 Enrollment ID: O20050526000816 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Peacock Grow, CRNA 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 882-0705 | Mrs Jennifer Peacock Grow, CRNA 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 |
Ms. Lorraine Kerwin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Fairfax Inova Hospital, Falls Church, VA 22042 Phone: 703-776-3138 | |
Denise Hirsch Tola, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 | |
Brandy Louise Flanagan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Jason Cage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 | |
Dr. Kirsten Kadlec-calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Tracey L Cover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 Fax: 540-982-2719 | |
Lijuan Huang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 |