Mr Donald Ray Allen Ii, CRNA | |
1031 W Western Reserve Rd, Poland, OH 44514-3541 | |
(330) 965-0900 | |
(330) 965-9250 |
Full Name | Mr Donald Ray Allen Ii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 1031 W Western Reserve Rd, Poland, 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 |
---|---|---|---|
1447208251 | NPI | - | NPPES |
2625298 | Medicaid | OH | |
8236623 | Other | OH | MEDICARE |
P00999006 | Other | PA | MEDICARE RAILROAD |
098543FAM | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN 271871 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN575013 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimum Anesthesia | 9638326432 | 25 |
Au Medical Associates Anesthesia Billing Services, Llc | 1557256393 | 77 |
Entity Name | Optimum Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851656854 PECOS PAC ID: 9638326432 Enrollment ID: O20120830000216 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald Ray Allen Ii, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Mr Donald Ray Allen Ii, CRNA 1031 W Western Reserve Rd, Poland, OH 44514-3541 Ph: (330) 965-0900 |
Donna J Kempe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Melissa Marie Hudzik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2343 Knollwood Ave, Poland, OH 44514 Phone: 330-774-3505 | |
Kathy A Mastriana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Kirsten R Yurich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Gregory P Szewczyk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 |