Ms Kellie L Deeter, CRNA | |
1171 Pioneer Pass, Norwalk, OH 44857-8928 | |
(419) 706-4150 | |
Not Available |
Full Name | Ms Kellie L Deeter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1171 Pioneer Pass, Norwalk, 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 |
---|---|---|---|
1780870113 | NPI | - | NPPES |
2810980 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | LE-00027692 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 09618 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health - Willard Hospital | Willard, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Firelands Anesthesia Associates Inc | 9032143334 | 10 |
Entity Name | Firelands Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811906340 PECOS PAC ID: 9032143334 Enrollment ID: O20050926001020 |
Mailing Address | Practice Location Address |
---|---|
Ms Kellie L Deeter, CRNA 1171 Pioneer Pass, 4th Floor, Norwalk, OH 44857-8928 Ph: (419) 706-4150 | Ms Kellie L Deeter, CRNA 1171 Pioneer Pass, Norwalk, OH 44857-8928 Ph: (419) 706-4150 |
Queen Ngwangong Mitti, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mr. Michael J Brasko, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 Pioneer Pass, Norwalk, OH 44857 Phone: 419-706-4150 | |
Scott Michael Elliott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 440-781-9318 |