| Anusari Dewasurendra, | |
|
601 Colliers Way, Weirton, WV 26062-5014 | |
| (734) 717-4088 | |
| Not Available |
| Full Name | Anusari Dewasurendra |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 10 Years |
| Location | 601 Colliers Way, Weirton, West Virginia |
| 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 |
|---|---|---|---|
| 1669834818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 30392 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highland Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U Of R Anesthesiology Group | 3476451105 | 340 |
| Entity Name | U of R Anesthesiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806488 PECOS PAC ID: 3476451105 Enrollment ID: O20031219000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Anusari Dewasurendra, 405 Glenn Ave, Glenshaw, PA 15116-2411 Ph: (734) 717-4088 | Anusari Dewasurendra, 601 Colliers Way, Weirton, WV 26062-5014 Ph: (734) 717-4088 |
Dr. Jerome J Aul Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2366 Hudson Hill Rd, Weirton, WV 26062 Phone: 410-726-0471 |
Dr. Gregory W Olenic, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6595 Fax: 304-797-6052 |
George M. Roig, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6266 |