Stephan John Bodnar, | |
10800 Midlothian Tpke Ste 265, North Chesterfield, VA 23235-4700 | |
(804) 594-2622 | |
Not Available |
Full Name | Stephan John Bodnar |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 10800 Midlothian Tpke Ste 265, North Chesterfield, 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 |
---|---|---|---|
1366051005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 296000 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024180046 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cjw Medical Center | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dogwood Anesthesia Providers Llc | 2769853084 | 138 |
Entity Name | Dogwood Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989 |
Mailing Address | Practice Location Address |
---|---|
Stephan John Bodnar, 947 Myers St Apt 449, Richmond, VA 23230-4836 Ph: (313) 580-1040 | Stephan John Bodnar, 10800 Midlothian Tpke Ste 265, North Chesterfield, VA 23235-4700 Ph: (804) 594-2622 |
Colleen Margaret Kienle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Timothy D. Crawley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 265, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Kassie L Quinlevan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Amy L. Harcum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 265, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Megan C Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Joseph Keaton Hoyle, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 | |
Nicole Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Midlothian Tpke, Suite 207, North Chesterfield, VA 23235 Phone: 804-594-2622 Fax: 804-594-0915 |