Amanda Beth Wisecup, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kettering, OH

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Amanda Beth Wisecup, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kettering, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Kettering Anesthesia Associates, Inc, Anesthesia Services Of Greater Dayton Llc, Resource Anesthesia Highlands Inc, Gi Anesthesia, Llc and her current practice location is 3535 Southern Blvd, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-8228.

Amanda Beth Wisecup is licensed to practice in Ohio (license number APRN.CRNA.019806) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952871717.

Contact Information

Amanda Beth Wisecup, CRNA
3535 Southern Blvd,
Kettering, OH 45429-1221
(937) 293-8228
(937) 293-8229

Map and Direction




Provider's Profile

Full NameAmanda Beth Wisecup
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location3535 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Beth Wisecup attended and graduated from University Of Cincinnati College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1952871717
  • Provider Enumeration Date: 12/04/2018
  • Last Update Date: 12/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769720101
  • Enrollment ID: I20190211002216

Medical Identifiers

Medical identifiers for Amanda Beth Wisecup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952871717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.019806 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clinton Memorial HospitalWilmington, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Anesthesia Associates, Inc064817036535
Anesthesia Services Of Greater Dayton Llc165852074714
Resource Anesthesia Highlands Inc17595265446
Gi Anesthesia, Llc60029715539

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Beth Wisecup allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417951948
PECOS PAC ID: 1254245137
Enrollment ID: O20031114000492
Entity NameKettering Anesthesia Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627739
PECOS PAC ID: 0648170365
Enrollment ID: O20040109000871
Entity NameGi Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730332610
PECOS PAC ID: 6002971553
Enrollment ID: O20090217000157
Entity NameAnesthesia Services Of Greater Dayton Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407132830
PECOS PAC ID: 1658520747
Enrollment ID: O20121004000714
Entity NameResource Anesthesia Highlands Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508113903
PECOS PAC ID: 1759526544
Enrollment ID: O20130327000276
Entity NameSandusky Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770907859
PECOS PAC ID: 3274895271
Enrollment ID: O20180402000752

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Beth Wisecup is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Beth Wisecup, CRNA
102 Canterbury Dr,
Dayton, OH 45429-1402

Ph: (937) 459-7428		Amanda Beth Wisecup, CRNA
3535 Southern Blvd,
Kettering, OH 45429-1221

Ph: (937) 293-8228

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kettering, OH

Timberly Deann Harvey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Brittney A Wallace, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Christopher A Murray, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Mr. Patrick Bendel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Karen Vukin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Vicki S Dursch, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Jolynn K Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.