Patricia M Mccormick Dupre, CRNA | |
801 Medical Drive, Suite B, Lima, OH 45804-4099 | |
(419) 224-7586 | |
(419) 224-9769 |
Full Name | Patricia M Mccormick Dupre |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 801 Medical Drive, 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 |
---|---|---|---|
1790881621 | NPI | - | NPPES |
0583328 | Other | OH | BCMH |
2135684 | Medicaid | OH | |
000000515999 | Other | OH | ANTHEM |
037246 | Other | OH | CRNA LICENSE |
746241 | Other | OH | BUCKEYE MEDICAID |
000000226089 | Other | OH | UNISON |
414347 | Other | OH | WELLCARE MEDICAID |
7441733 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 037246 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN149531 (Ohio) | Primary |
Entity Name | Safe Anesthesia Chardon Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740599976 PECOS PAC ID: 0547456386 Enrollment ID: O20101119000141 |
Entity Name | Allied Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477972792 PECOS PAC ID: 8123244530 Enrollment ID: O20140721001698 |
Entity Name | Lake Erie Sedation Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265927594 PECOS PAC ID: 0840536819 Enrollment ID: O20190111001533 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
Mailing Address | Practice Location Address |
---|---|
Patricia M Mccormick Dupre, CRNA Po Box 714813, Columbus, OH 43271 Ph: (937) 293-0247 | Patricia M Mccormick Dupre, CRNA 801 Medical Drive, Suite B, Lima, OH 45804-4099 Ph: (419) 224-7586 |
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 |