Angelia Dawn Slack, CRNA in Gallipolis, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Angelia Dawn Slack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gallipolis, Ohio. She graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of West Virginia Pllc, Professional Anesthesia Service,inc. and her current practice location is 90 Jackson Pike, Gallipolis, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 446-5227.

Angelia Dawn Slack is licensed to practice in Ohio (license number COA.06914-NA) 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 1164497178.

Contact Information

	Angelia Dawn Slack, CRNA
	90 Jackson Pike, Gallipolis, OH 45631-1560
	(740) 446-5227
	(740) 441-8058

Map and Direction

Provider's Profile

Full Name	Angelia Dawn Slack
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	90 Jackson Pike, Gallipolis, 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.

Medical Education and Training:

Angelia Dawn Slack graduated from nursing school in 2000

NPI Data:

NPI Number: 1164497178
Provider Enumeration Date: 02/22/2006
Last Update Date: 02/09/2015

Medicare PECOS Information:

PECOS PAC ID: 9739080110
Enrollment ID: I20040526000847

Medical Identifiers

Medical identifiers for Angelia Dawn Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164497178	NPI	-	NPPES
2605057000	Medicaid	WV
2240702	Medicaid	OH
000000223446	Other		ANTHEM BCBS
001714140	Other		MOUNTAIN STATE BCBS
000000204799	Other	OH	OH MEDICAID UNISON
430073754	Other	OH	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4064A (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	COA.06914-NA (Ohio)	Primary
367500000X	Nurse Anesthetist, Certified Registered	36798 (West Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Memorial Hospital	South charleston, WV	Hospital
Cabell Huntington Hospital Inc	Huntington, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of West Virginia Pllc	2668750241	116
Professional Anesthesia Service,inc.	2769387190	45

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. Angelia Dawn Slack allows following entities to bill medicare on her behalf.

Entity Name	Professional Anesthesia Service,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731

Entity Name	Boone Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050

Entity Name	Northstar Anesthesia Of West Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322

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. Angelia Dawn Slack 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 Address	Practice Location Address
Angelia Dawn Slack, CRNA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5227	Angelia Dawn Slack, CRNA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5227

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gallipolis, OH

Eugenia Kay Mccoy, CRNA, DMPNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982
Stephen S. Henry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-441-8058
Mr. David L. Reymond, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058
Clifford E. Queen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058
Susan Kay Fox-kuhner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-8058
Claudia Marie Lyon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058

Angelia Dawn Slack, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gallipolis, OH