Jacob Heeter, CRNA | |
907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | |
(781) 344-2325 | |
(781) 341-8544 |
Full Name | Jacob Heeter |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 907 Sumner St. Suite M201, Stoughton, Massachusetts |
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 |
---|---|---|---|
1568860187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN2297563 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2297563 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olympic Medical Center | Port angeles, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Physicians Anesthesia Service Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417962200 PECOS PAC ID: 6901792365 Enrollment ID: O20040224000589 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20211021002476 |
Mailing Address | Practice Location Address |
---|---|
Jacob Heeter, CRNA 1229 Madison St, Ste 1440, Seattle, WA 98104-3538 Ph: (781) 344-2325 | Jacob Heeter, CRNA 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 Ph: (781) 344-2325 |
Elizabeth Ann Brady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 909 Sumner St, Stoughton, MA 02072 Phone: 781-344-2325 | |
Maria Clara Vaz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Kimberly A Amouzgar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 Plain Drive, C/o Ma Anesthesia Corp., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8269 | |
Marion Bragdon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 Sumner St, Suite M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Michael Sera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St, M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Catherine C Eberly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 |