| Amanda Denise La Favers, | |
|
10500 Montgomery Rd, Cincinnati, OH 45242-4402 | |
| (513) 865-1111 | |
| Not Available |
| Full Name | Amanda Denise La Favers |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 10500 Montgomery Rd, Cincinnati, 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 |
|---|---|---|---|
| 1205460813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 019993 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Anesthesia, Psc | 5092627521 | 180 |
| Commonwealth Health Corporation Inc | 5496667628 | 221 |
| Entity Name | Commonwealth Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
| Entity Name | Commonwealth Health Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Denise La Favers, 1720 Red Clover Dr, Lebanon, OH 45036-4094 Ph: (270) 585-3854 | Amanda Denise La Favers, 10500 Montgomery Rd, Cincinnati, OH 45242-4402 Ph: (513) 865-1111 |
Melissa T Wesley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-872-7385 | |
Lisa Marie Roeder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave., Ml 2001, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229 Phone: 513-636-4408 Fax: 513-636-7337 | |
Katie Dean, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-585-5511 | |
Erik Albers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Mercy Health Blvd, Cincinnati, OH 45211 Phone: 513-215-5000 | |
Andrea Chicovic Mehal, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 | |
Mrs. Jacqueline Marie Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3229 Burnet Ave, Cincinnati, OH 45229 Phone: 513-872-6310 | |
James Matthew Grau, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-558-0995 |