| Sue-ellen Jordan, CRNA | |
|
810 Fairgrove Church Rd, Hickory, NC 28602-9617 | |
| (828) 326-3809 | |
| (828) 326-3371 |
| Full Name | Sue-ellen Jordan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 810 Fairgrove Church Rd, Hickory, 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 |
|---|---|---|---|
| 1407958614 | NPI | - | NPPES |
| 8052448 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 72862 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Norman Anesthesia Associates | 1951396126 | 23 |
| Entity Name | Lake Norman Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Western Carolina Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326669508 PECOS PAC ID: 4082031232 Enrollment ID: O20200902001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Sue-ellen Jordan, CRNA 146 Medical Park Rd, Ste 108, Mooresville, NC 28117-8529 Ph: (704) 662-0877 | Sue-ellen Jordan, CRNA 810 Fairgrove Church Rd, Hickory, NC 28602-9617 Ph: (828) 326-3809 |
Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371 | |
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 |