Johannes Jack Bartley, | |
22 Bramhall St, Portland, ME 04102-3134 | |
(801) 910-1089 | |
Not Available |
Full Name | Johannes Jack Bartley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 22 Bramhall St, Portland, Maine |
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 |
---|---|---|---|
1194217281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA203060 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Maine Medical Center | Lewiston, ME | Hospital |
Northern Light Mercy Hospital | Portland, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Maine Medical Center | 2567379563 | 346 |
Mercy Hospital | 6103737812 | 229 |
Entity Name | Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Entity Name | Central Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Entity Name | Mount Desert Island Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
Mailing Address | Practice Location Address |
---|---|
Johannes Jack Bartley, 22 Bramhall St, Portland, ME 04102-3134 Ph: () - | Johannes Jack Bartley, 22 Bramhall St, Portland, ME 04102-3134 Ph: (801) 910-1089 |
Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Veronica Resendez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526 | |
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 | |
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277 | |
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |