| Anna M Lang-clark, CRNA | |
|
200 E State Street, Alliance, OH 44601 | |
| (330) 596-6000 | |
| (330) 596-7214 |
| Full Name | Anna M Lang-clark |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2024 Years |
| Location | 200 E State Street, Alliance, 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 |
|---|---|---|---|
| 1619922200 | NPI | - | NPPES |
| 000000672398 | Other | OH | ANTHEM |
| 0768692 | Medicaid | OH | |
| P00954616 | Other | OH | RRMCR |
| 3810018495 | Medicaid | WV | |
| 000000666673 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.187858 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Alliance Community Hospital | Alliance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 124 |
| Triad Health Services Llc | 9032367917 | 187 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M Lang-clark, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Anna M Lang-clark, CRNA 200 E State Street, Alliance, OH 44601 Ph: (330) 596-6000 |
Patricia E Dumovic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 East State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Margaret Elizabeth Wood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-4000 Fax: 330-829-4533 | |
Susan C Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7227 | |
Janice Ann Foley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7157 Fax: 330-596-7214 | |
Theresa Lynne Roth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-286-5330 Fax: 330-286-5396 | |
Barbara M Mastriana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E. State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 |