| Aja Simone Rivera, RN | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 932-2300 | |
| Not Available |
| Full Name | Aja Simone Rivera |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 24 Joliet St, Dyer, Indiana |
| 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 |
|---|---|---|---|
| 1457919292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28164192A (Indiana) | Primary |
| 163W00000X | Registered Nurse | 28164192A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Munster | Munster, IN | Hospital |
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Entity Name | Indiana Ams Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275018236 PECOS PAC ID: 3971857897 Enrollment ID: O20181113001456 |
| Mailing Address | Practice Location Address |
|---|---|
| Aja Simone Rivera, RN 2212 Freedom St, Portage, IN 46368-1417 Ph: (219) 746-6981 | Aja Simone Rivera, RN 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 932-2300 |
Kimbra Click, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Thomas Rynne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Mindy Ruan, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Mary C. Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Amanda J Arredondo, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 |