| Dereck Vonallman, CRNA | |
|
592 Stewart Ave, Columbus, OH 43206-2884 | |
| (330) 749-5731 | |
| Not Available |
| Full Name | Dereck Vonallman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 592 Stewart Ave, Columbus, 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 |
|---|---|---|---|
| 1497337463 | NPI | - | NPPES |
| 163W00000X | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.396668 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020316 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Naples Community Hospital | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 359 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Dereck Vonallman, CRNA 592 Stewart Ave, Columbus, OH 43206-2884 Ph: (330) 749-5731 | Dereck Vonallman, CRNA 592 Stewart Ave, Columbus, OH 43206-2884 Ph: (330) 749-5731 |
Ronee D Trussel, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Rachel Marie Ashworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 | |
Tony Tre Lybarger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215 Phone: 614-566-9871 | |
Mary Carol F Shurman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Gina M. Reno, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 | |
Alyson F. Kuhn, APRN.CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Lisa Christine Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-4919 |