Jacquelene Shatlova, | |
121 Dekalb Ave, Brooklyn, NY 11201-5425 | |
(718) 250-8259 | |
Not Available |
Full Name | Jacquelene Shatlova |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 121 Dekalb Ave, Brooklyn, New York |
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 |
---|---|---|---|
1194153601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 571828 (New York) | Primary |
163W00000X | Registered Nurse | 571828 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Brooklyn Hospital Center - Downtown Campus | Brooklyn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Llp | 7719885771 | 504 |
Entity Name | North American Partners In Anesthesia Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Mailing Address | Practice Location Address |
---|---|
Jacquelene Shatlova, 11781 Lee Jackson Memorial Hwy, Ste 550, Fairfax, VA 22033-3309 Ph: (571) 777-5164 | Jacquelene Shatlova, 121 Dekalb Ave, Brooklyn, NY 11201-5425 Ph: (718) 250-8259 |
Stephanie Joseph, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th St, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3000 | |
Nikia S Nelson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th Street, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 Fax: 718-780-3281 | |
Mark Lieberman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4802 10th Ave, Brooklyn, NY 11219 Phone: 718-283-8816 | |
Marina Hanukoff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th Street, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 | |
Ms. Margaret Mary Gill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Poly Pl, Brooklyn, NY 11209 Phone: 718-439-4163 | |
Ms. Rita M Riley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 55th Street, Brooklyn, NY 11220 Phone: 718-630-7452 Fax: 718-630-6322 | |
Ronell S Kirkley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-3279 |