Michele Deiterich, CRNA | |
169 Martin Ave, Ephrata, PA 17522-1724 | |
(717) 733-0311 | |
(717) 721-5861 |
Full Name | Michele Deiterich |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 169 Martin Ave, Ephrata, Pennsylvania |
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 |
---|---|---|---|
1104249093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN296687L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Reading Hospital | West reading, PA | Hospital |
Wellspan Ephrata Community Hospital | Ephrata, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
Tower Health Medical Group | 7618889213 | 577 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Tower Health Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
Mailing Address | Practice Location Address |
---|---|
Michele Deiterich, CRNA 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Michele Deiterich, CRNA 169 Martin Ave, Ephrata, PA 17522-1724 Ph: (717) 733-0311 |
Larry Dean Mellott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6618 Fax: 717-738-6646 | |
Mr. Jason Michael Dulimba, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Ms. Raquel Vanessa Wiker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Steven C Vandevander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Mrs. Kathleen Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Larry Cicero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-733-0876 |