| Alexa Lenae Herold, | |
|
267 Grant St, Bridgeport, CT 06610-2805 | |
| (203) 384-3000 | |
| Not Available |
| Full Name | Alexa Lenae Herold |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 267 Grant St, Bridgeport, Connecticut |
| 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 |
|---|---|---|---|
| 1538732433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 143339 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209027896 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Lenae Herold, 22 Gillette St, Milford, CT 06460-7840 Ph: (608) 312-3721 | Alexa Lenae Herold, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3000 |
Caitlin Van Ess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 860-576-5000 | |
Cleofas Espinoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Kelly Takacs, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main Street, Saint Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Tara Seiler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Main St, St Vincents Medical Center, Bridgeport, CT 06604 Phone: 203-929-7353 Fax: 203-929-0756 | |
Peter Jakubowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Sabrenda Tecola Littles, CRNA, R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Mrs. Marla Jean Peterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport Hospital, Bridgeport, CT 06610 Phone: 203-384-3801 Fax: 203-384-4619 |