| Gina R Dotterer, CRNA | |
|
1761 Beall Ave, Wooster, OH 44691-2342 | |
| (330) 428-2380 | |
| Not Available |
| Full Name | Gina R Dotterer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1761 Beall Ave, Wooster, 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 |
|---|---|---|---|
| 1194129189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 361494 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 361494 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wooster Community Hospital | Wooster, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nye Eye Anesthesia Inc | 0547508624 | 16 |
| Borgelt Anesthesia Services, Llc | 7517491897 | 9 |
| Ohio Anesthesia Group, Inc | 9537222138 | 91 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | Anesthesia Associates Of Wooster |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750320693 PECOS PAC ID: 7618937822 Enrollment ID: O20041012001571 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Nye Eye Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013483437 PECOS PAC ID: 0547508624 Enrollment ID: O20190214003100 |
| Entity Name | Borgelt Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467274712 PECOS PAC ID: 7517491897 Enrollment ID: O20241108001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina R Dotterer, CRNA 860 E Broad St, Suite I, Elyria, OH 44035-6542 Ph: (440) 323-8515 | Gina R Dotterer, CRNA 1761 Beall Ave, Wooster, OH 44691-2342 Ph: (330) 428-2380 |