| Amanda Derby Martin, CRNA | |
|
1425 Portland Ave, Rochester, NY 14621-3011 | |
| (585) 922-4159 | |
| (585) 922-3731 |
| Full Name | Amanda Derby Martin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1425 Portland Ave, Rochester, New York |
| 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 |
|---|---|---|---|
| 1043670201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 635425 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 635425 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health University City | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 753 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
| Entity Name | Novant Health Rowan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Derby Martin, CRNA 100 Kings Hwy S Ste 1400, Rochester, NY 14617-5541 Ph: (585) 922-3027 | Amanda Derby Martin, CRNA 1425 Portland Ave, Rochester, NY 14621-3011 Ph: (585) 922-4159 |
Caleb Earl Kiser, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4159 Fax: 585-922-3731 | |
Cheryl A Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box 604, Rochester, NY 14642 Phone: 585-275-5982 Fax: 585-756-0169 | |
Richard Allen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6267 | |
Emily Rose Gillespie, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100 | |
Geneva Modrak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hagen Dr, Rochester, NY 14625 Phone: 585-367-8200 | |
Jason Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100 | |
Jeffrey Cowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-1385 |