| Lisa A Chichericco-sload, CRNA | |
|
1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2896 | |
| (800) 437-2672 | |
| Not Available |
| Full Name | Lisa A Chichericco-sload |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1613 Harrison Pkwy, Sunrise, Florida |
| 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 |
|---|---|---|---|
| 1154562536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 081646 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Maine Medical Center | 2062315161 | 588 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Chichericco-sload, CRNA 11368 Sw Mountain Ash Cir, Port St Lucie, FL 34987-2460 Ph: (610) 721-5008 | Lisa A Chichericco-sload, CRNA 1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2896 Ph: (800) 437-2672 |
Ashley Wald Lafferty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323 Phone: 954-838-2588 Fax: 954-514-3979 | |
Velda M. Vandling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Mary T Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14050 Nw 14th St Ste 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042 | |
Gilfredo Figueroa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Chales A. Noyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Wanda L. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Carol Rimron Pfrogner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 |