| Bernard Wellicka, CRNA | |
|
575 N River St, Wilkes Barre, PA 18764-0999 | |
| (570) 829-8111 | |
| Not Available |
| Full Name | Bernard Wellicka |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 575 N River St, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245252832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN284517L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Anesthesia Pllc | 5991184863 | 98 |
| Entity Name | Cas Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798027 PECOS PAC ID: 9830177310 Enrollment ID: O20040712000081 |
| Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
| Entity Name | Capital Anesthesia Solutions Of Philadelphia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407402365 PECOS PAC ID: 5597197046 Enrollment ID: O20191121001321 |
| Entity Name | 360 Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20220623001003 |
| Entity Name | Centurion Anesthesia Penn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902539851 PECOS PAC ID: 3072995570 Enrollment ID: O20220801000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard Wellicka, CRNA 3998 Fair Rdige Drive, Suite 300, Fairfax, VA 22033 Ph: (703) 295-9360 | Bernard Wellicka, CRNA 575 N River St, Wilkes Barre, PA 18764-0999 Ph: (570) 829-8111 |
Dr. Caroline L Raskiewicz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-3689 Fax: 570-552-3697 | |
Kelsey L Mihal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Nicholas Morreale, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Ryan Williams, RN BSN MSN CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Wendy Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Lisa Hayes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 Fax: 570-208-5548 | |
Vincent Cleveland David, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 |