Michael Dotterer, CRNA | |
1761 Beall Ave, Wooster, OH 44691-2342 | |
(330) 263-8100 | |
Not Available |
Full Name | Michael Dotterer |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 1761 Beall Ave, Wooster, Ohio |
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 |
---|---|---|---|
1194120493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN-333220 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wooster Community Hospital | Wooster, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Anesthesia Group, Inc | 9537222138 | 127 |
Entity Name | Elyria Anesthesia Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
Entity Name | Anesthesia Associates Of Wooster |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750320693 PECOS PAC ID: 7618937822 Enrollment ID: O20041012001571 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Michael Dotterer, CRNA 860 East Broad Street, Suite I, Elyria, OH 44035-6542 Ph: (440) 323-8515 | Michael Dotterer, CRNA 1761 Beall Ave, Wooster, OH 44691-2342 Ph: (330) 263-8100 |
Stacy Lynn Hollister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1761 Beall Ave, Wooster, OH 44691 Phone: 330-263-8100 | |
Antonella Slone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1761 Beall Ave, Wooster, OH 44691 Phone: 330-263-8100 | |
Danielle Berner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1761 Beall Avenue, Wooster, OH 44691 Phone: 330-263-8100 Fax: 517-787-7365 | |
Ms. Andrea L Huff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1761 Beall Ave, Wooster, OH 44691 Phone: 330-263-8100 |