Melanie L Mattingly, CRNA | |
640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-3048 |
Full Name | Melanie L Mattingly |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 640 Jackson St, Saint Paul, Minnesota |
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 |
---|---|---|---|
1043267511 | NPI | - | NPPES |
390428800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1686656 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Everest Anesthesia Llc | 2961868559 | 16 |
Progressive Anesthesia Llc | 7618148263 | 12 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Progressive Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Spectrum Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578074993 PECOS PAC ID: 8921363268 Enrollment ID: O20180607001073 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
Entity Name | Everest Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568158418 PECOS PAC ID: 2961868559 Enrollment ID: O20230524002431 |
Mailing Address | Practice Location Address |
---|---|
Melanie L Mattingly, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Melanie L Mattingly, CRNA 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101-2502 Ph: (651) 254-3456 |
Melanie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Molly Cubinski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Caitlyn Sarah Lapres, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-265-1254 | |
Dale H Mchugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert P Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Diane K Voelker-huhn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11503p, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Nicole R Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |