Michael James Petsch, CRNA | |
621 10th St, Niagara Falls, NY 14301-1813 | |
(716) 278-4000 | |
Not Available |
Full Name | Michael James Petsch |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 621 10th St, Niagara Falls, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033165626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 498634 (New York) | Primary |
Entity Name | North American Partners In Anesthesia Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Entity Name | Great Lakes Anesthesiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306852181 PECOS PAC ID: 7113997529 Enrollment ID: O20040730000966 |
Entity Name | Syracuse Gastroenterological Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619947843 PECOS PAC ID: 6305814716 Enrollment ID: O20040923000422 |
Entity Name | Premier Anesthesia Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
Entity Name | Quality Medical Management Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20210427000857 |
Entity Name | Upstate New York Medical Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801553128 PECOS PAC ID: 8022405380 Enrollment ID: O20220505000559 |
Mailing Address | Practice Location Address |
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Michael James Petsch, CRNA Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 648-7833 | Michael James Petsch, CRNA 621 10th St, Niagara Falls, NY 14301-1813 Ph: (716) 278-4000 |
Mr. Andrew D Little, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4000 | |
Evbuosa Hanny Ogbebor, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4000 |