Mr Michael D Beredo, CRNA | |
1 Guthrie Sq, Sayre, PA 18840-1625 | |
(570) 888-5858 | |
(570) 887-4464 |
Full Name | Mr Michael D Beredo |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1 Guthrie Sq, Sayre, Pennsylvania |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033188990 | NPI | - | NPPES |
CC8362 | Other | NY | RR MEDICARE GROUP |
P00379063 | Other | NY | RR MEDICARE PIN |
430078581 | Other | PA | RR MEDICARE PIN |
GU039832 | Other | PA | MEDICARE GROUP |
CC9269 | Other | PA | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN542206 (Pennsylvania) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 538854-1 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cayuga Medical Associates Pc | 6709897960 | 217 |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Entity Name | Cayuga Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
Entity Name | Cayuga Medicine Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700468758 PECOS PAC ID: 9830591791 Enrollment ID: O20210714002667 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael D Beredo, CRNA 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Mr Michael D Beredo, CRNA 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Mr. Edward G. Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Mr. Jeffrey Quinton Owen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Cathleen C Mall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Joseph Herman Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Monica L Albertson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Mr. Kevin J. Millar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 |