Michelle Medina, CRNA | |
1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 | |
(973) 429-6219 | |
(845) 547-0740 |
Full Name | Michelle Medina |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1 Bay Ave, Montclair, New Jersey |
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 |
---|---|---|---|
1124330329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NJ00295000 (New Jersey) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 581615-1 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ocean Medical Center | Brick, NJ | Hospital |
Hackensackumc Mountainside | Montclair, NJ | Hospital |
Centrastate Medical Center | Freehold, NJ | Hospital |
Deborah Heart And Lung Center | Browns mills, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkway Anesthesia Associates Llc | 2567758931 | 147 |
New Jersey Healthcare Specialists Pc | 2668385253 | 540 |
North American Partners In Anesthesia Of New Jersey Llc | 5890867410 | 184 |
Professional Service Fund Of Deborah- Anesthesia | 9133163504 | 25 |
Entity Name | New Jersey Healthcare Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
Entity Name | Rancocas Anesthesiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20031222000327 |
Entity Name | Professional Service Fund Of Deborah- Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902852015 PECOS PAC ID: 9133163504 Enrollment ID: O20050616000283 |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Entity Name | Parkway Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
Entity Name | Riverfront Intensivists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639618424 PECOS PAC ID: 3476839507 Enrollment ID: O20170404000874 |
Entity Name | Aztec Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598392003 PECOS PAC ID: 2961820527 Enrollment ID: O20200914001418 |
Entity Name | Capital Anesthesia Solutions Of New Jersey, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851908297 PECOS PAC ID: 1355761974 Enrollment ID: O20201021001347 |
Mailing Address | Practice Location Address |
---|---|
Michelle Medina, CRNA 100 Route 59, Suite 111, Suffern, NY 10901-4927 Ph: (845) 357-5775 | Michelle Medina, CRNA 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 Ph: (973) 429-6219 |
Mr. Timothy L. Murry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6250 | |
Ljiljana Kovacevic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Chestnut St, Montclair, NJ 07042 Phone: 973-842-0464 Fax: 973-972-2357 | |
Erin Ferber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Mountainside Hospital, Montclair, NJ 07042 Phone: 973-429-6000 Fax: 845-357-5777 | |
Marci Viola, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 | |
Dr. Patrick Kelly Russell, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 | |
Jessica Sanchez, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000 |