| Patricia Roach Norcom, CRNA | |
|
2536 Lengers Way, Fort Mill, SC 29707-7126 | |
| (704) 749-5800 | |
| (704) 626-3237 |
| Full Name | Patricia Roach Norcom |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 2536 Lengers Way, Fort Mill, 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 |
|---|---|---|---|
| 1245289750 | NPI | - | NPPES |
| 8052065 | Medicaid | NC | |
| NAN413 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 053779 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26300 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anesthesiology Associates Pa | 3971566761 | 240 |
| 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 | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Entity Name | Nmg Southpark Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952690109 PECOS PAC ID: 6901075977 Enrollment ID: O20110808000705 |
| Entity Name | Novant Health Mint Hill Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Roach Norcom, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4239 | Patricia Roach Norcom, CRNA 2536 Lengers Way, Fort Mill, SC 29707-7126 Ph: (704) 749-5800 |
Alisha Nicole Anderson-dillon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1145 Hartmann Ct, Fort Mill, SC 29715 Phone: 704-491-3024 |