Mary E Jedlicka, APRNCRNA | |
410 W 10th Ave, Columbus, OH 43210-1240 | |
(614) 293-8487 | |
(614) 293-8153 |
Full Name | Mary E Jedlicka |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 410 W 10th Ave, Columbus, Ohio |
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 |
---|---|---|---|
1538798699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN378851 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020095 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohio State University State Health System | Columbus, OH | Hospital |
Mount Carmel East & West | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osu Observation Medicine, Llc | 3375692270 | 375 |
Premier Anesthesia Of Ohio Llc | 3779714258 | 79 |
Entity Name | Osu Health System Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174581185 PECOS PAC ID: 8426959214 Enrollment ID: O20040115000490 |
Entity Name | Osu Observation Medicine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
Entity Name | Adena Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Entity Name | Premier Anesthesia Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
Entity Name | Sandusky Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
Mailing Address | Practice Location Address |
---|---|
Mary E Jedlicka, APRNCRNA 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8487 | Mary E Jedlicka, APRNCRNA 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8487 |
Ronee D Trussel, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Rachel Marie Ashworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 | |
Tony Tre Lybarger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Grant Ave Fl 3, Columbus, OH 43215 Phone: 614-566-9871 | |
Mary Carol F Shurman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Gina M. Reno, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, N416 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 | |
Alyson F. Kuhn, APRN.CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Lisa Christine Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-4919 |