| Tabitha Jean Stefanov, CRNA | |
|
1805 27th St, Portsmouth, OH 45662-2640 | |
| (740) 356-8231 | |
| (740) 356-3686 |
| Full Name | Tabitha Jean Stefanov |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1805 27th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629410048 | NPI | - | NPPES |
| 0097193 | Medicaid | OH | |
| 7100259780 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.14911-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Jean Stefanov, CRNA 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-6942 | Tabitha Jean Stefanov, CRNA 1805 27th St, Portsmouth, OH 45662-2640 Ph: (740) 356-8231 |
Lisa A. Smith, CRNA,DMPNA,APRN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 | |
Vickie Jean Camilli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Christopher R. Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Mr. David Taylor Newman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 | |
Catherine Ann Price, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Tiffany Ann Kiley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Charles Richard Roberts Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 |