| Mrs Kathleen Champlin, | |
|
1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | |
| (434) 200-3000 | |
| Not Available |
| Full Name | Mrs Kathleen Champlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1901 Tate Springs Rd, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528631371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024190750 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen Champlin, 384 Mimosa Ln, Rustburg, VA 24588-4835 Ph: () - | Mrs Kathleen Champlin, 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 Ph: (434) 200-3000 |
Jeffrey Grey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Brooks Tanner Nielsen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 435-773-3302 | |
Anila Sodhi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915 | |
Allyson Danielle Brasseur, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
William Lee Pearce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Amy M. Merritt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 804-594-2622 Fax: 804-594-0915 | |
Mrs. Rachel Carlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 |