| Jarrod Prebola, CRNA | |
|
553 Hillside View Dr, Duncansville, PA 16635-7459 | |
| (814) 207-3903 | |
| Not Available |
| Full Name | Jarrod Prebola |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 553 Hillside View Dr, Duncansville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639890775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 69004 (New Mexico) | Secondary |
| 163W00000X | Registered Nurse | 69004 (New Mexico) | Primary |
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
| Mailing Address | Practice Location Address |
|---|---|
| Jarrod Prebola, CRNA 6709 Academy Rd Ne Ste A, Albuquerque, NM 87109-3363 Ph: (814) 207-3903 | Jarrod Prebola, CRNA 553 Hillside View Dr, Duncansville, PA 16635-7459 Ph: (814) 207-3903 |
Linda Sharer-showalter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 Fax: 814-693-1191 | |
Sharon Lehman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 Fax: 814-693-1191 | |
Vicki Rae Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 Fax: 814-693-1191 | |
Beth Mccahren, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-934-4231 Fax: 814-693-5955 | |
Kay Kelly, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 Fax: 814-693-1191 | |
Michelle Rena Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 | |
Connie L Shaw, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 125 Maple Hollow Rd, Duncansville, PA 16635 Phone: 814-693-2273 Fax: 814-693-1191 |