Mr Scott Michael Dickerson, CRNA | |
630 E River St, Elyria, OH 44035-5902 | |
(440) 329-7536 | |
Not Available |
Full Name | Mr Scott Michael Dickerson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 630 E River St, Elyria, 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 |
---|---|---|---|
1114237914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 318582 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
Mercy Regional Medical Center | Lorain, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elyria Anesthesia Incorporated | 7214902170 | 50 |
Entity Name | Elyria Anesthesia Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Michael Dickerson, CRNA 860 E Broad St, Suite I, Elyria, OH 44035-6542 Ph: (440) 323-8458 | Mr Scott Michael Dickerson, CRNA 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7536 |
Jessica Anne Yager, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Danette Joan Gissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St, Suite1, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Susan F Dimassa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Drive, Elyria, OH 44035 Phone: 440-930-6050 Fax: 440-934-8882 | |
Mrs. Debera W Moennich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Suite I, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Kathryn Anzalone, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 860 E Broad St Ste I, Elyria, OH 44035 Phone: 440-323-8515 | |
Mrs. Erica Michelle Groom, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 |