| Amber Elise Bulcroft, | |
|
6847 N Chestnut St, Ravenna, OH 44266-3929 | |
| (330) 297-0811 | |
| Not Available |
| Full Name | Amber Elise Bulcroft |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 6847 N Chestnut St, Ravenna, Ohio |
| 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 |
|---|---|---|---|
| 1861918799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.375870 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| University Hospitals Geneva Medical Center | Geneva, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Anesthesia Geneva Llc | 4385771997 | 29 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Safe Anesthesia Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Elise Bulcroft, 11919 Udall Rd, Hiram, OH 44234-9779 Ph: (440) 477-6008 | Amber Elise Bulcroft, 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: (330) 297-0811 |
Mrs. Victoria Marie Kelley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-569-4963 | |
Alec A Caruso Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
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 | |
Alvin Osten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 |