Sidney Nicole Mann, CAA | |
1 Wyoming St, Dayton, OH 45409-2722 | |
(937) 208-6173 | |
Not Available |
Full Name | Sidney Nicole Mann |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 1 Wyoming St, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376227843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67.000478 (Ohio) | Primary |
Entity Name | Anesthesiology Services Network Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
Mailing Address | Practice Location Address |
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Sidney Nicole Mann, CAA 870 Franklin Rd Apt M3, Lebanon, OH 45036-4115 Ph: (513) 532-1274 | Sidney Nicole Mann, CAA 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-6173 |
Tyra Lindsey Benzinger, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1 Wyoming Street, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Mitchell Harshbarger, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 | |
Nicholas Amaya, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 |