| Arlene G Agra, CRNA | |
|
860 East Broad Street, Suite I, Elyria, OH 44035 | |
| (440) 323-8458 | |
| (440) 323-7900 |
| Full Name | Arlene G Agra |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 860 East Broad Street, Elyria, 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 |
|---|---|---|---|
| 1669587911 | NPI | - | NPPES |
| 2625949 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 203557 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elyria Anesthesia Incorporated | 7214902170 | 50 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Ams Ohio Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800532 PECOS PAC ID: 2769743335 Enrollment ID: O20180221002674 |
| Mailing Address | Practice Location Address |
|---|---|
| Arlene G Agra, CRNA 36151 Grafton Eastern Rd, Grafton, OH 44044-9637 Ph: (216) 870-8471 | Arlene G Agra, CRNA 860 East Broad Street, Suite I, Elyria, OH 44035 Ph: (440) 323-8458 |
Jessica Anne Yager, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Mr. Scott Michael Dickerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7536 | |
Danette Joan Gissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St, Suite1, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Susan F Dimassa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Drive, Elyria, OH 44035 Phone: 440-930-6050 Fax: 440-934-8882 | |
Mrs. Debera W Moennich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Suite I, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Kathryn Anzalone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St Ste I, Elyria, OH 44035 Phone: 440-323-8515 | |
Laurie Ann Frankito, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Elyria, OH 44035 Phone: 440-323-8458 Fax: 440-323-7900 |