Gary A Deraad, CRNA | |
2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616-4920 | |
(419) 690-7652 | |
(419) 697-7726 |
Full Name | Gary A Deraad |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 2801 Bay Park Dr, Oregon, 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 |
---|---|---|---|
1851393623 | NPI | - | NPPES |
P00619434 | Other | RRMC | |
000000556304 | Other | ANTHEM | |
341881145-003 | Other | OH | MMO |
04097A | Other | OH | PARAMOUNT |
5182096 | Medicaid | MI | |
74007279 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4238A (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN 279724 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Poudre Valley Hospital | Fort collins, CO | Hospital |
Medical Center Of The Rockies | Loveland, CO | Hospital |
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Northern Colorado Anesthesia Professionals Pllc | 6800878760 | 140 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Gary A Deraad, CRNA 26699 Mohawk Dr, Perrysburg, OH 43551-5403 Ph: (419) 690-7652 | Gary A Deraad, CRNA 2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616-4920 Ph: (419) 690-7652 |
Linda M Grover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7900 Fax: 419-697-7726 | |
Ms. Kristine Anne Kribs, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7900 Fax: 419-697-7726 | |
David Dixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616 Phone: 419-690-7652 Fax: 419-697-7726 | |
William J Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2801 Bay Park Dr, Oregon, OH 43616 Phone: 419-690-7653 Fax: 419-697-7726 | |
Mr. Matthew Joseph Pawlaczyk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Navarre Ave, Oregon, OH 43616 Phone: 419-696-7200 | |
Larry D. Stuckey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2740 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4444 | |
Timothy E Irvine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2801 Bay Park Dr, Department Of Surgery, Oregon, OH 43616 Phone: 419-690-7653 Fax: 419-697-7726 |