| Mrs Theresa Mary Miller, | |
|
200 Hawthorne Ln, Charlotte, NC 28204-2515 | |
| (704) 384-4274 | |
| (704) 384-5636 |
| Full Name | Mrs Theresa Mary Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Hawthorne Ln, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720283245 | NPI | - | NPPES |
| 8052943 | Medicaid | NC | |
| NAN802 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 077463 (North Carolina) | Primary |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487626933 PECOS PAC ID: 1153231907 Enrollment ID: O20031126000588 |
| 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 | Charlotte Gastroenterology & Hepatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730100801 PECOS PAC ID: 3870489412 Enrollment ID: O20040223000424 |
| Entity Name | Charlotte Gastroenterology & Hepatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1851548655 PECOS PAC ID: 3870489412 Enrollment ID: O20070922000030 |
| Entity Name | Gateway Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548401789 PECOS PAC ID: 6002966694 Enrollment ID: O20090602000253 |
| 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 |
| Entity Name | Triad Sedation Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427528595 PECOS PAC ID: 4587903448 Enrollment ID: O20190312000286 |
| Entity Name | Western Carolina Sedation Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326669508 PECOS PAC ID: 4082031232 Enrollment ID: O20200902001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Mary Miller, Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4274 | Mrs Theresa Mary Miller, 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4274 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 |
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 |
Ms. Joyce Sauvager, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd Ste 101, Charlotte, NC 28207 Phone: 704-377-4009 |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 |