Mr Dennis M Bullen, CRNA | |
2793 Shawnee Rd, Lima, OH 45806-1444 | |
(419) 227-8209 | |
(419) 222-6007 |
Full Name | Mr Dennis M Bullen |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2793 Shawnee Rd, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174579924 | NPI | - | NPPES |
0950707 | Medicaid | OH | |
041281 | Other | AANA NO. | |
1022890730001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN204525 (Ohio) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | COA 02041-NA (Ohio) | Secondary |
Entity Name | The Gastroenterology Clinic & Endoscopy Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952497117 PECOS PAC ID: 3274429477 Enrollment ID: O20040225000211 |
Entity Name | Gastro-intestinal Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275571929 PECOS PAC ID: 0749234383 Enrollment ID: O20050308000271 |
Entity Name | The Endoscopy Center Of West Central Ohio, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1578745568 PECOS PAC ID: 8628130176 Enrollment ID: O20081218000066 |
Mailing Address | Practice Location Address |
---|---|
Mr Dennis M Bullen, CRNA 12525 Springfield Rd, New Springfield, OH 44443-9783 Ph: (330) 549-9456 | Mr Dennis M Bullen, CRNA 2793 Shawnee Rd, Lima, OH 45806-1444 Ph: (419) 227-8209 |
Mr. Charles Joseph Bouis Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-222-0328 | |
Mr. Storm Wayne Sharp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 Fax: 419-228-3352 | |
Timothy Keener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2923 Lilly Dr, Lima, OH 45807 Phone: 419-909-1001 | |
Ms. Mary Kay Woolsey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Mr. Adam Reidenbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary A Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 W High St # 5, Lima, OH 45801 Phone: 419-998-4573 | |
Rodney David White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 |