| Alec A Caruso Ii, CRNA | |
|
6847 N Chestnut St, Ravenna, OH 44266-3929 | |
| (330) 297-0811 | |
| Not Available |
| Full Name | Alec A Caruso Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6847 N Chestnut St, Ravenna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124741319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.348229 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020646 (Ohio) | Primary |
| Entity Name | The Gastroenterology Clinic & Endoscopy Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952497117 PECOS PAC ID: 3274429477 Enrollment ID: O20040225000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Alec A Caruso Ii, CRNA 426 State Rd Nw, Warren, OH 44483-1626 Ph: (330) 307-8040 | Alec A Caruso Ii, CRNA 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 297-0811 |
Mrs. Victoria Marie Kelley, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-569-4963 | |
Walter Omiecinski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Tanya J. Wilhelm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-2765 | |
Rosanna Lugenbeal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Amber Elise Bulcroft, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Alvin Osten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |