Mrs Shelby D Koetter, | |
1 Wyoming St, Dayton, OH 45409-2722 | |
(937) 208-6173 | |
(937) 208-3843 |
Full Name | Mrs Shelby D Koetter |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 1 Wyoming St, Dayton, Ohio |
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 |
---|---|---|---|
1093346512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.020052 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Services Network Ltd | 8820902794 | 168 |
Entity Name | Anesthesiology Services Network Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shelby D Koetter, Po Box 632317, Cincinnati, OH 45263-2317 Ph: (717) 263-5562 | Mrs Shelby D Koetter, 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-6173 |
Kathy Waymire, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 800-394-4445 | |
Mr. Robert S Sheeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Cody Dalton Plapp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Sarah Blesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Mr. Thomas B Hellman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Trey Overla, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Jason Neal Ratliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-276-8316 Fax: 937-567-4163 |