| Shawn Taylor Henson, CRNA | |
|
1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | |
| (540) 741-1100 | |
| Not Available |
| Full Name | Shawn Taylor Henson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 1001 Sam Perry Blvd, Fredericksburg, 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 |
|---|---|---|---|
| 1780191338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 119176 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024175780 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Hospital Center | Arlington, VA | Hospital |
| Rush University Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dominion Anesthesia Pllc | 7618863713 | 72 |
| University Anesthesiologists Sc | 4183512080 | 145 |
| Entity Name | Dominion Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073554952 PECOS PAC ID: 7618863713 Enrollment ID: O20040305000503 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Taylor Henson, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (888) 280-9533 | Shawn Taylor Henson, CRNA 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (540) 741-1100 |
Melyssa Carroll Mooney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Jennifer Lynn Bridy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Kelly N Petz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 800-394-4445 Fax: 706-955-0720 | |
Amy Ann Uriell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 844-454-0171 | |
Alexis Stadsklev, DNP APRN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1100 | |
Rodger Alan Oren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Jeanette Nargi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 540-741-7615 |