| Mrs Kayla Wade, CRNA | |
| 
					1906 Belleview Ave Se, Roanoke, VA 24014-1838  | |
| (540) 981-7000 | |
| Not Available | 
| Full Name | Mrs Kayla Wade | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1906 Belleview Ave Se, Roanoke, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477251833 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 0001281003 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0024189423 (Virginia) | Primary | 
| Entity Name | Acv Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881927259 PECOS PAC ID: 3870633936 Enrollment ID: O20091221000602  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kayla Wade, CRNA 5604 Green Meadow Rd, Roanoke, VA 24018-3228 Ph: () -  | Mrs Kayla Wade, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000  | 
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222  | |
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000  | |
Miss Soyini Fraser, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-494-4897  | |
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855  | |
Mr. Harrison Johnston Shull Iii,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363  | |
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855  | |
Amanda Dillen,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222  |