| Jonathon Peter Portincasa, CRNA | |
|
1906 Belleview Ave Se, Roanoke, VA 24014-1838 | |
| (540) 853-0222 | |
| (540) 981-7855 |
| Full Name | Jonathon Peter Portincasa |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1906 Belleview Ave Se, Roanoke, 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 |
|---|---|---|---|
| 1952941031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024186941 (Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 006290 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland County Hospital System Inc | 1850204041 | 469 |
| Carilion Professional Services Llc | 2163323999 | 47 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Firsthealth Of The Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Peter Portincasa, CRNA 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Jonathon Peter Portincasa, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 853-0222 |
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222 | |
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 | |
Mr. Harrison Johnston Shull Iii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363 | |
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855 | |
Amanda Dillen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 | |
Michael Christopher Beaudoin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-312-4461 |