Alicia M Dodge, | |
750 E Adams St, Syracuse, NY 13210-2342 | |
(315) 657-7458 | |
Not Available |
Full Name | Alicia M Dodge |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 750 E Adams St, Syracuse, New York |
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 |
---|---|---|---|
1982972915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 591340-1 (New York) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | R188019 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Oswego Hospital | Oswego, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oswego Hospital | 4981686045 | 45 |
Entity Name | Upstate Medical Anesthesiology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851485759 PECOS PAC ID: 8921992389 Enrollment ID: O20040209000612 |
Entity Name | Chag Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740279017 PECOS PAC ID: 2668361973 Enrollment ID: O20040315000126 |
Entity Name | Oswego Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871678458 PECOS PAC ID: 4981686045 Enrollment ID: O20040602001275 |
Mailing Address | Practice Location Address |
---|---|
Alicia M Dodge, 750 E Adams St, Syracuse, NY 13210-2342 Ph: () - | Alicia M Dodge, 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 657-7458 |
Robert A Worden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522 | |
Kristen Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-8705 | |
Marc Therrien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Russet Ln, Syracuse, NY 13209 Phone: 315-263-0526 | |
Michael Joseph Hoskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-299-5451 Fax: 315-299-4710 | |
John F Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-470-7828 Fax: 315-470-5811 | |
Ms. Sigrid A. Marfo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522 | |
James Roth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7828 Fax: 315-470-5811 |