| Adam Iacocca, CRNA | |
|
3400 Spruce St, Philadelphia, PA 19104-4206 | |
| (215) 349-8310 | |
| (215) 893-7270 |
| Full Name | Adam Iacocca |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1285160598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN632163 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Health Community Multispecialty Providers Llc | 9537468574 | 578 |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Iacocca, CRNA 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 349-8310 | Adam Iacocca, CRNA 3400 Spruce St, Philadelphia, PA 19104-4206 Ph: (215) 349-8310 |
Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900 | |
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Heather Moore, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-4000 | |
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000 | |
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 |