| Selene R Forrestall, CRNA | |
|
805 Pamplico Hwy, Florence, SC 29505-6047 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Selene R Forrestall |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 805 Pamplico Hwy, Florence, 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 |
|---|---|---|---|
| 1013078013 | NPI | - | NPPES |
| AN2850 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 254742 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 22437 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group, Inc. | 3971987108 | 122 |
| Musc Community Physicians | 6507260668 | 984 |
| North Charleston Sedation Associates, Llc | 9234661547 | 4 |
| Entity Name | Anaesthesia Associates Of Massachusetts, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415289 PECOS PAC ID: 5193611267 Enrollment ID: O20040225000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Selene R Forrestall, CRNA Po Box 23321, New York, NY 10087-3321 Ph: (843) 792-6200 | Selene R Forrestall, CRNA 805 Pamplico Hwy, Florence, SC 29505-6047 Ph: (843) 792-1414 |
Ms. Rachel Bowen Caulder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-661-6215 | |
Mr. Scott Gregory Saylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-8752 Fax: 843-777-8705 | |
Hannah Elizabeth Pettigrew, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2000 | |
Cathy J Sheehy, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 805 Pamplico Hwy, Florence, SC 29505 Phone: 843-674-5000 | |
Wilma I Rabon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 W Cheves St, Florence, SC 29506 Phone: 843-777-8752 Fax: 843-777-8705 | |
Ms. Devin W Player, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-661-6215 Fax: 843-777-8705 |