Angela Marie Bacon, CRNA | |
12351 Perry Hwy, Wexford, PA 15090-8344 | |
(412) 359-6581 | |
(412) 359-3483 |
Full Name | Angela Marie Bacon |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12351 Perry Hwy, Wexford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235873449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 139305 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN593231 (Pennsylvania) | Primary |
Entity Name | Sunshine State Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
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Angela Marie Bacon, CRNA 3205 Grand Ave Apt 408, Pinellas Park, FL 33782-6145 Ph: (412) 908-3972 | Angela Marie Bacon, CRNA 12351 Perry Hwy, Wexford, PA 15090-8344 Ph: (412) 359-6581 |
Allison Courtney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 408 Stag Horn Dr, Wexford, PA 15090 Phone: 724-612-3593 | |
Matthew Paul Coy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12351 Perry Hwy, Wexford, PA 15090 Phone: 412-359-6581 Fax: 412-359-3483 | |
Sarah Harber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12351 Perry Hwy, Wexford, PA 15090 Phone: 412-359-6581 Fax: 412-359-3483 | |
Kelly M. Matheis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12351 Perry Hwy, Wexford, PA 15090 Phone: 412-359-6581 Fax: 412-359-3483 | |
Arielle Brice, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12351 Perry Hwy, Wexford, PA 15090 Phone: 412-359-6581 Fax: 412-359-3483 | |
Stephanie Reim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12351 Perry Hwy, Wexford, PA 15090 Phone: 412-359-6581 Fax: 412-359-3483 | |
Amanda Taylor Mogielski, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Beaver Ct, Wexford, PA 15090 Phone: 724-630-0639 |