| Mrs Jessica Gordon, CRNA | |
|
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 692-1000 | |
| Not Available |
| Full Name | Mrs Jessica Gordon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 809 82nd Pkwy, Myrtle Beach, South 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 |
|---|---|---|---|
| 1164104899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 29864 (South Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Coast Anesthesia Services Pc | 3971887167 | 71 |
| Entity Name | Atlantic Coast Anesthesia Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Gordon, CRNA 265 Brookview Centre Way Ste 203, Knoxville, TN 37919-4053 Ph: (865) 379-4846 | Mrs Jessica Gordon, CRNA 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 692-1000 |
Travis Mills, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2432 Hunters Trl, Myrtle Beach, SC 29588 Phone: 423-736-0357 |
Patrick E Quinn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 |
Jane I Dickman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 |
Jean M. Vinski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 |
Deborah Marie Rambo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Anesth Dept, Myrtle Beach, SC 29572 Phone: 843-692-1000 |
Debra K Hamerski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 |
Irina Walker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-602-2408 |