Royce J Vandervort, CRNA | |
1307 Federal St, Suite 101, Pittsburgh, PA 15212-4705 | |
(412) 231-6550 | |
(412) 231-6697 |
Full Name | Royce J Vandervort |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1307 Federal St, Pittsburgh, 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 |
---|---|---|---|
1346284817 | NPI | - | NPPES |
11929464 | Other | CAQH | |
0019763430008 | Medicaid | PA | |
8232124 | Other | OH | MEDICARE PTAN |
074629TV6 | Other | PA | MEDICARE PTAN |
2418379 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN239247 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN536104 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steel City Anesthesia, Llc | 4789634221 | 10 |
Entity Name | Allegheny Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Entity Name | Steel City Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126632 PECOS PAC ID: 4789634221 Enrollment ID: O20050225000042 |
Mailing Address | Practice Location Address |
---|---|
Royce J Vandervort, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Royce J Vandervort, CRNA 1307 Federal St, Suite 101, Pittsburgh, PA 15212-4705 Ph: (412) 231-6550 |
Chelsie Dahl, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Lothrop St, Pittsburgh, PA 15213 Phone: 412-647-5909 | |
Jessica Mansuria, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1307 Federal St, Suite 101, Pittsburgh, PA 15212 Phone: 412-231-6550 | |
Miss Kristy Lynn Bowman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 320 E North Ave, Pittsburgh, PA 15212 Phone: 412-359-6581 Fax: 412-359-3483 | |
Katherine Liss, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Locust St, Pittsburgh, PA 15219 Phone: 412-232-8222 | |
Lindsey Mccormack, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Lothrop St Ste 200c, Suite 200 Cwing, Pittsburgh, PA 15213 Phone: 412-647-3260 | |
Nicholas Guyan, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1400 Locust St, Pittsburgh, PA 15219 Phone: 412-232-8111 | |
Marilyn June Sestock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4727 Friendship Ave, #240, Pittsburgh, PA 15224 Phone: 412-235-5870 |