Andrew John Poulos, CRNA | |
667 Eastland Ave Se, Warren, OH 44484-4503 | |
(330) 286-5330 | |
(330) 286-5396 |
Full Name | Andrew John Poulos |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 667 Eastland Ave Se, Warren, Ohio |
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 |
---|---|---|---|
1750318440 | NPI | - | NPPES |
2353966 | Medicaid | OH | |
H022771 | Other | OH | MEDICARE PTAN |
430077810 | Other | OH | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN273223 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mh St Joseph Warren Hospital | Warren, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trans-ohio Anesthesia, Llc | 5092979625 | 3 |
Bel-park Anesthesia Associates, Inc. | 8628974904 | 129 |
Entity Name | Bel-park Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
Entity Name | Northstar Anesthesia Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
Entity Name | Trans-ohio Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871866137 PECOS PAC ID: 5092979625 Enrollment ID: O20120612000434 |
Mailing Address | Practice Location Address |
---|---|
Andrew John Poulos, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Andrew John Poulos, CRNA 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 286-5330 |
Ms. Margaret Layshock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9230 Fax: 330-841-9571 | |
Charlene S White-lowery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1622 E Market St, Warren, OH 44483 Phone: 330-399-7215 | |
Rosanne Eartly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 667 Eastland Ave Se, 667 Eastland Avenue Se, Warren, OH 44484 Phone: 330-841-4100 Fax: 330-841-4455 | |
Ruth E Skornicka, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4100 Fax: 330-841-4455 | |
Amanda Danielle Angus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4000 Fax: 330-841-4455 | |
Kathleen D Sprague, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9230 Fax: 330-841-9571 | |
M Jean Durandetta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1934 Niles Cortland Rd Ne, Warren, OH 44484 Phone: 330-609-7874 Fax: 330-609-6616 |