Philip Potena, | |
600 Gresham Dr, Norfolk, VA 23507-1904 | |
(757) 473-0055 | |
(757) 473-0075 |
Full Name | Philip Potena |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 600 Gresham Dr, Norfolk, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700322807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001250777 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024174507 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aesthetic Eye Associates Ps | 5991798902 | 12 |
Providence Wa Anesthesia Services, Pc | 9335298884 | 79 |
Entity Name | Aesthetic Eye Associates Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023043445 PECOS PAC ID: 5991798902 Enrollment ID: O20040406000658 |
Entity Name | Providence Wa Anesthesia Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135 |
Entity Name | Lake Washington Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962935197 PECOS PAC ID: 3678840543 Enrollment ID: O20170524001681 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201002002223 |
Mailing Address | Practice Location Address |
---|---|
Philip Potena, 134 Business Park Dr, Virginia Beach, VA 23462-6523 Ph: (757) 473-0055 | Philip Potena, 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 473-0055 |
Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Teresa Cousins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Jennifer D Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Allen Mesick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 |