Mary Jean Detchemendy is a Concord, North Carolina based nurse anesthetist with 35 years of experience as Anesthesia Administration. She completed she graduation in 1990. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary Jean Detchemendy is 096193 for Anesthesia Administration in North Carolina. Her current practice location is 920 Church St N, Concord. Patients can reach her at 704-783-4235 or can fax her at 704-783-2527. Mary Jean Detchemendy is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1093737009. Mary Jean Detchemendy is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary Jean Detchemendy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
35+ years
Medical School Attended:
Other
Graduation Year:
1990
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
920 Church St N, Concord, North Carolina, 28025-2927
Phone:
704-783-4235
Fax:
704-783-2527
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3375637481
Enrollment ID:
I20070920000335
NPI Number:
1093737009
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jean Detchemendy are as mentioned below.
License Number
Specialization
State
Status
096193
Anesthesia Administration
North Carolina
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mary Jean Detchemendy has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mountain Regional Anesthesia, Pllc (1557694650)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Jean Detchemendy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8050167
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
102 Harborgate Ct, Cornelius, North Carolina
Zip:
28031-5000
Phone Number:
704-892-8372
Fax Number:
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Patients can reach Mary Jean Detchemendy at 920 Church St N, Concord, North Carolina or can call to book an appointment on 704-783-4235.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.