Ms Myra F Mardis, CRNA | |
2222 Philadelphia Drive, Dayton, OH 45406-1891 | |
(937) 278-2612 | |
Not Available |
Full Name | Ms Myra F Mardis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 2222 Philadelphia Drive, 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 |
---|---|---|---|
1164430062 | NPI | - | NPPES |
000000354962 | Other | OH | ANTHEM |
2540576 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN286402 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Evansville | Evansville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Group Associates Pc | 0547233959 | 51 |
Commonwealth Anesthesia, Psc | 5092627521 | 205 |
Entity Name | Anesthesiology Group Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194761262 PECOS PAC ID: 0547233959 Enrollment ID: O20040814000039 |
Entity Name | Apollo Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443 |
Mailing Address | Practice Location Address |
---|---|
Ms Myra F Mardis, CRNA Po Box 640446, Cincinnati, OH 45264-0446 Ph: (937) 293-0247 | Ms Myra F Mardis, CRNA 2222 Philadelphia Drive, Dayton, OH 45406-1891 Ph: (937) 278-2612 |
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 |