| Roman J Supan, CRNA | |
|
1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 | |
| (717) 782-3282 | |
| (717) 231-8964 |
| Full Name | Roman J Supan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1995 Technology Pkwy, Mechanicsburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1346771672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN618294 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN618294 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upmc Pinnacle Anesthesia Services Llc | 1951662980 | 145 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | West Shore Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225037492 PECOS PAC ID: 4880506443 Enrollment ID: O20031103000237 |
| Entity Name | Lehigh Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Entity Name | Upmc Pinnacle Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730693979 PECOS PAC ID: 1951662980 Enrollment ID: O20180307001977 |
| Entity Name | Hm Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639825235 PECOS PAC ID: 3476948555 Enrollment ID: O20220329000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman J Supan, CRNA 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: () - | Roman J Supan, CRNA 1995 Technology Pkwy, Mechanicsburg, PA 17050-8522 Ph: (717) 782-3282 |
George T Byrnes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Cumberland Pkwy, Mechanicsburg, PA 17055 Phone: 717-697-6020 Fax: 717-697-0263 | |
Robin Louise Crowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Technology Pkwy, Mechanicsburg, PA 17050 Phone: 717-782-3282 Fax: 717-231-8964 | |
Paul R Jaselskis, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 461 Nursery Dr N, Mechanicsburg, PA 17055 Phone: 717-795-1977 | |
Natalie Beccone Nivar, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Technology Pkwy, Mechanicsburg, PA 17050 Phone: 717-782-3282 |