| Phillip William Balzer, CRNA | |
|
1200 E Broad St, Richmond, VA 23298-5058 | |
| (804) 828-9000 | |
| Not Available |
| Full Name | Phillip William Balzer |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1200 E Broad St, Richmond, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134750334 | NPI | - | NPPES |
| 0024178743 | Other | VA | NURSE PRACTITIONER LICENSE |
| 0001250924 | Other | VA | RN LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001250924 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024178743 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1580 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip William Balzer, CRNA 5205 Timbercreek Dr, North Chesterfield, VA 23237-3169 Ph: (864) 907-3265 | Phillip William Balzer, CRNA 1200 E Broad St, Richmond, VA 23298-5058 Ph: (804) 828-9000 |
Janine L Gibbons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-288-6258 Fax: 804-282-9921 | |
Karen L Hague, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4937 | |
Lisa Broaddus Ziegler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, Richmond, VA 23226 Phone: 804-285-2011 | |
Caleb Lesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-673-1038 | |
Michael R. Mercer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Dept. Of Anesthesiology/crna, Richmond, VA 23298 Phone: 804-628-6990 Fax: 804-628-6932 | |
Diana Marcela Rodriguez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-300-0757 | |
Eric J Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Leigh St, Richmond, VA 23298 Phone: 804-828-7247 |