| Roger Jacquelin, CRNA | |
|
125 Buena Vista Cir, South Hill, VA 23970-1431 | |
| (952) 442-9770 | |
| Not Available |
| Full Name | Roger Jacquelin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 54 Years |
| Location | 125 Buena Vista Cir, South Hill, 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 |
|---|---|---|---|
| 1609858406 | NPI | - | NPPES |
| 080569 | Other | VA | BLUE CROSS OF VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0001051476 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital | South hill, 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 |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Jacquelin, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Roger Jacquelin, CRNA 125 Buena Vista Cir, South Hill, VA 23970-1431 Ph: (952) 442-9770 |
Daniel Walbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 804-828-2207 Fax: 804-828-8300 | |
Olukunle Oreyemi-rire Olumuyiwa, CRNA (DMPNA), APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-2273 Fax: 434-584-5579 | |
Mrs. Pamela Susan Bardwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Buena Vista Circle, Cmh-vcu Health, South Hill, VA 23919 Phone: 434-447-3151 | |
Thomas Watters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Buena Vista Cir, South Hill, VA 23970 Phone: 952-442-9770 | |
Jessica Nicole Brickers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 804-828-2207 Fax: 804-828-8300 | |
Mr. Gregory Joseph Myslinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-3151 |