| Timothy Charles Brunelle, | |
|
1401 N Wapak Rd, Lima, OH 45807-9472 | |
| (419) 371-3456 | |
| Not Available |
| Full Name | Timothy Charles Brunelle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1401 N Wapak Rd, Lima, Ohio |
| 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 |
|---|---|---|---|
| 1740767300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019764 (Ohio) | Secondary |
| 163W00000X | Registered Nurse | RN.346597 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Lima Inc | 4486553013 | 42 |
| Entity Name | Anesthesia Associates Of Lima Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487662300 PECOS PAC ID: 4486553013 Enrollment ID: O20040102000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Charles Brunelle, 1401 N Wapak Rd, Lima, OH 45807-9472 Ph: (419) 371-3456 | Timothy Charles Brunelle, 1401 N Wapak Rd, Lima, OH 45807-9472 Ph: (419) 371-3456 |
Miss Meredith Janell Haynes, PNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main St, Lima, OH 45801 Phone: 419-516-0327 Fax: 419-225-8878 | |
Laura Knepper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 Fax: 419-229-2227 | |
Heath Jones, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 Fax: 419-229-2227 | |
Emma Buck, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 Fax: 419-229-2227 | |
Amanda Laird, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-4310 | |
Denise M Barnes, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Barnsbury Dr, Lima, OH 45804 Phone: 419-231-4616 | |
Michelle Lee Darnell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 883 W Spring St, Lima, OH 45805 Phone: 419-227-3661 |