| Jacob Allen Roderick, CRNA | |
|
1200 J D Anderson Dr, Morgantown, WV 26505-3494 | |
| (706) 650-0705 | |
| Not Available |
| Full Name | Jacob Allen Roderick |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1200 J D Anderson Dr, Morgantown, West Virginia |
| 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 |
|---|---|---|---|
| 1538406871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 72425 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mon Health Medical Center | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of West Virginia Pllc | 2668750241 | 114 |
| Entity Name | Northstar Anesthesia Of West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Allen Roderick, CRNA 118 Chess Rd, Smithfield, PA 15478-1418 Ph: () - | Jacob Allen Roderick, CRNA 1200 J D Anderson Dr, Morgantown, WV 26505-3494 Ph: (706) 650-0705 |
Tanya C Ammons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-285-7126 | |
Jillann M Balko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4122 | |
Taylor Elizabeth Spinosi, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
David R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Lori A Rizor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 J D Anderson Dr, Monongalia Genral Hospital, Morgantown, WV 26505 Phone: 304-285-1245 Fax: 304-285-2131 | |
Walter J Kielkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Amanda Renee Larew, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 French Quarters Dr, Morgantown, WV 26505 Phone: 304-376-7635 |