| Mrs Michelle Countouriotis, CRNA | |
|
2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Mrs Michelle Countouriotis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 2817 Reilly Road Mcxc-cod Credentials, Fort Bragg, 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 |
|---|---|---|---|
| 1578802427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN 105999 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Care Services Pa | 7012937105 | 54 |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Salem Professional Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538171897 PECOS PAC ID: 9133180326 Enrollment ID: O20041108000480 |
| Entity Name | Anesthesia Care Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Countouriotis, CRNA 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 Ph: (910) 907-8922 | Mrs Michelle Countouriotis, CRNA 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-7324 Ph: (910) 907-8922 |
Mr. Richard Phillip Kirschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-7818 | |
Stacy Sheppard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Leland Bradley Morgans, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8034 | |
Jeffrey Deen Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Ms. Katrina Lynette Cheek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Ctr, Fort Bragg, NC 28310 Phone: 910-970-6323 | |
Thais Rodriguez Fletcher, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 254-319-4654 | |
Bradley J Lassa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |