Summer M Craddock, CRNA | |
2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | |
(610) 789-8070 | |
(610) 789-9937 |
Full Name | Summer M Craddock |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2010 Old West Chester Pike, Havertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326217050 | NPI | - | NPPES |
RN567789 | Other | PA | RN567789 |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN567789 (Pennsylvania) | Primary |
Entity Name | Carolina Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851486781 PECOS PAC ID: 9739174301 Enrollment ID: O20040415000149 |
Entity Name | Sc Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205109428 PECOS PAC ID: 1052573565 Enrollment ID: O20120430000408 |
Mailing Address | Practice Location Address |
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Summer M Craddock, CRNA Po Box 8500-4066, Philadelphia, PA 19178-0001 Ph: (302) 733-0806 | Summer M Craddock, CRNA 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 Ph: (610) 789-8070 |
Marylouise Caneda, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Jessica L Collins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Alexander Matthew Pugliese, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Elizabeth J Shelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2010 Old West Chester Pike, Ste 337, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Russell Zehnacker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 | |
Kimberly Medwid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old West Chester Pike, Havertown, PA 19083 Phone: 610-789-8070 | |
Lisa Ann Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Old W Chester Pike, Suite 330, Havertown, PA 19083 Phone: 610-789-8070 Fax: 610-789-9937 |