| Ronald C Deatley, CRNA | |
|
200 Hawthorne Ln, Charlotte, NC 28204-2515 | |
| (704) 384-4274 | |
| (704) 384-5636 |
| Full Name | Ronald C Deatley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 200 Hawthorne Ln, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1164467718 | NPI | - | NPPES |
| 8053385 | Medicaid | NC | |
| AN1391 | Medicaid | SC | |
| 8051968 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 070239 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3249 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 614 |
| Forsyth Memorial Hospital Inc | 9537071790 | 625 |
| Mission Health Community Multispecialty Providers Llc | 9537468574 | 599 |
| Novant Health Rowan Medical Center Llc | 3375452519 | 54 |
| Entity Name | Valley Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Entity Name | Dogwood Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C Deatley, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4239 | Ronald C Deatley, CRNA 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 |