| Trent Masselink, CRNA | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 935-8538 | |
| (803) 791-2660 |
| Full Name | Trent Masselink |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 2720 Sunset Blvd, West Columbia, South 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 |
|---|---|---|---|
| 1558933226 | NPI | - | NPPES |
| AN3741 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26312 (South Carolina) | Primary |
| 163W00000X | Registered Nurse | RN1047549 (District Of Columbia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
| Trident Medical Center | Charleston, SC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trident Anesthesia Group Llc | 5294631545 | 105 |
| Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 182 |
| Entity Name | Coastal Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942252176 PECOS PAC ID: 9032022744 Enrollment ID: O20031110000173 |
| Entity Name | Trident Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
| Entity Name | North Charleston Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255185971 PECOS PAC ID: 9234661547 Enrollment ID: O20241011000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Masselink, CRNA Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 791-2491 | Trent Masselink, CRNA 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 935-8538 |
Aimee Yates Gondi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd., West Columbia, SC 29169 Phone: 803-791-2000 | |
Mrs. Aimee Ahn Durgin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jeffrey M Scoggin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 | |
Noreen Lyday Dudley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jessica Leigh Rosebrock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Hannah Elizabeth Garrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Cori Jane Stroebel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 |