Colleen G Gallagher Tataru, CRNA | |
38401 Mentor Ave., Unit 7301, Willoughby, OH 44094-1912 | |
(440) 478-9340 | |
Not Available |
Full Name | Colleen G Gallagher Tataru |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 38401 Mentor Ave., Willoughby, Ohio |
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 |
---|---|---|---|
1861417909 | NPI | - | NPPES |
104335207 | Other | MI | MICHIGAN MEDICAID |
341877986020 | Other | OH | MMO |
000000230250 | Other | OH | ANTHEM |
430055991 | Other | OH | RAILROAD MEDICARE |
341877986019 | Other | OH | MMO |
0927662 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN179085 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 101340 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Akron General Medical Center | Akron, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Partners Physician Group | 4183529340 | 487 |
Entity Name | Partners Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841239274 PECOS PAC ID: 4183529340 Enrollment ID: O20031202000183 |
Entity Name | Elyria Anesthesia Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
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 |
Mailing Address | Practice Location Address |
---|---|
Colleen G Gallagher Tataru, CRNA 38401 Mentor Ave., Unit 7301, Willoughby, OH 44094-1912 Ph: (440) 478-9340 | Colleen G Gallagher Tataru, CRNA 38401 Mentor Ave., Unit 7301, Willoughby, OH 44094-1912 Ph: (440) 478-9340 |
Pam Lah, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-354-7420 | |
Jacqueline M Junglas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 | |
Marlarie C Hardee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
David P Kucmanic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 |