| Rose Kordich Doyle, CRNA | |
|
1817 Curraghmore Rd, Clemmons, NC 27012-8852 | |
| (336) 414-9420 | |
| (336) 766-0737 |
| Full Name | Rose Kordich Doyle |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 1817 Curraghmore Rd, Clemmons, North 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 |
|---|---|---|---|
| 1063481497 | NPI | - | NPPES |
| 8050936/8000282 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 105351 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 840 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Nurse Anesthesia Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689628729 PECOS PAC ID: 7911806195 Enrollment ID: O20040107000364 |
| 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 | Piedmont Triad Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Kordich Doyle, CRNA 1817 Curraghmore Rd, Clemmons, NC 27012-8852 Ph: (336) 414-9420 | Rose Kordich Doyle, CRNA 1817 Curraghmore Rd, Clemmons, NC 27012-8852 Ph: (336) 414-9420 |
Mr. Jonathan Richard Dunn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5030 Woodmont Ridge Ct, Clemmons, NC 27012 Phone: 336-703-1233 |