Liza Colette Broll, CRNA | |
500 Memorial Ave, Suite 307, Cumberland, MD 21502 | |
(301) 723-4965 | |
(301) 723-4983 |
Full Name | Liza Colette Broll |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 500 Memorial Ave, Cumberland, Maryland |
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 |
---|---|---|---|
1568626661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R134724 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R134724 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Western Maryland Regional Medical Center | Cumberland, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Maryland Llc | 1850283144 | 77 |
Entity Name | North American Partners In Anesthesia Maryland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405 |
Mailing Address | Practice Location Address |
---|---|
Liza Colette Broll, CRNA 500 Memorial Ave, Suite 307, Cumberland, MD 21502-3732 Ph: (301) 723-4965 | Liza Colette Broll, CRNA 500 Memorial Ave, Suite 307, Cumberland, MD 21502 Ph: (301) 723-4965 |
Jared Lamp, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-7000 | |
Mrs. Christine Marie Sturtz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-3306 Fax: 240-964-3307 | |
Rodney Thomas Whetstone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 Baltimore St, Suite 200, Cumberland, MD 21502 Phone: 301-723-4965 Fax: 301-723-4983 | |
Michelle K Helal, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Baltimore St Ste 200, Cumberland, MD 21502 Phone: 301-723-4965 Fax: 301-723-4983 | |
Mrs. Verna Roman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-694-7000 | |
Donna Ross, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12252 Williams Rd Se, #103, Cumberland, MD 21502 Phone: 240-522-0185 | |
Leslie Thomas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Memorial Ave, Medical Bldg Suite 307, Cumberland, MD 21502 Phone: 301-723-4965 Fax: 301-723-4983 |