Michael C Loomis, CRNA | |
7918 Main Street, Suite 204, Fogelsville, PA 18051-0488 | |
(610) 366-9536 | |
(610) 366-9538 |
Full Name | Michael C Loomis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 38 Years |
Location | 7918 Main Street, Fogelsville, Pennsylvania |
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 |
---|---|---|---|
1811993769 | NPI | - | NPPES |
0019709940001 | Medicaid | PA | |
0019709940003 | Medicaid | PA | |
1553210 | Other | PA | GATEWAY |
11803037 | Other | PA | CAQH |
76114 | Other | PA | GEISINGER |
50014783 | Other | PA | CAPITAL ADVANTAGE |
7951477 | Other | PA | AETNA |
1406648 | Other | PA | HIGHMARK |
2094350000 | Other | PA | IBC |
1406648 | Other | PA | FIRST PRIORITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN254017L (Pennsylvania) | Primary |
163W00000X | Registered Nurse | RN-254017-L (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lehigh Valley Hospital | Allentown, PA | Hospital |
Surgical Institute Of Reading | Wyomissing, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Anesthesia Services Of North America Pc | 1658698824 | 76 |
Lehigh Valley Physician Group | 3072425123 | 1892 |
Entity Name | Lehigh Valley Anesthesia Services, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Professional Anesthesia Services Of North America Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
Mailing Address | Practice Location Address |
---|---|
Michael C Loomis, CRNA 7918 Main St, Suite 204, Fogelsville, PA 18051-1744 Ph: (610) 366-9536 | Michael C Loomis, CRNA 7918 Main Street, Suite 204, Fogelsville, PA 18051-0488 Ph: (610) 366-9536 |