Andrey Popov, CRNA | |
267 Grant St, Bridgeport, CT 06610-2870 | |
(203) 384-3000 | |
Not Available |
Full Name | Andrey Popov |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 267 Grant St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447637483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 128140 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9689 (Connecticut) | Primary |
Entity Name | North American Partners In Anesthesia Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Entity Name | Sedation Vacation Perioperative Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891235404 PECOS PAC ID: 1759658594 Enrollment ID: O20170525001955 |
Mailing Address | Practice Location Address |
---|---|
Andrey Popov, CRNA 593 Main St Unit 202, Ridgefield, CT 06877-3836 Ph: (302) 864-7408 | Andrey Popov, CRNA 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 384-3000 |
Caitlin Van Ess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 860-576-5000 | |
Cleofas Espinoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Kelly Takacs, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main Street, Saint Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Tara Seiler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Main St, St Vincents Medical Center, Bridgeport, CT 06604 Phone: 203-929-7353 Fax: 203-929-0756 | |
Peter Jakubowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Sabrenda Tecola Littles, CRNA, R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Mrs. Marla Jean Peterson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport Hospital, Bridgeport, CT 06610 Phone: 203-384-3801 Fax: 203-384-4619 |