Mr Shane Lawrence Pelanda, CRNA | |
4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 | |
(330) 286-5330 | |
(330) 286-5396 |
Full Name | Mr Shane Lawrence Pelanda |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 4135 Boardman Canfield Rd, Canfield, 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 |
---|---|---|---|
1982909610 | NPI | - | NPPES |
12241994 | Other | CAQH | |
3128930 | Medicaid | OH | |
000000761030 | Other | OH | ANTHEM BCBS |
H088220 | Other | OH | MEDICARE PTAN |
P01135540 | Other | OH | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | COA-12110-NA (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bpw Medical Associates Pc | 7719878081 | 24 |
Entity Name | Bpw Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508820390 PECOS PAC ID: 7719878081 Enrollment ID: O20040324000830 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Entity Name | Wexford Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386879567 PECOS PAC ID: 7012061351 Enrollment ID: O20090820000445 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane Lawrence Pelanda, CRNA 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 480-3658 | Mr Shane Lawrence Pelanda, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 |
Mr. Robert Daniluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406 Phone: 330-286-5330 | |
Sandra L Marin-reay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 53 Neff Dr, Canfield, OH 44406 Phone: 330-533-4405 Fax: 330-533-4405 | |
Josephine J Jarbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-286-5330 Fax: 330-286-5396 | |
Candia S Zlenka, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-702-1489 Fax: 330-702-1545 |