| Bonnie P Muetterties, CRNA | |
|
175 E Chester Pike, Ridley Park, PA 19078-2284 | |
| (610) 595-6000 | |
| (877) 329-2370 |
| Full Name | Bonnie P Muetterties |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 175 E Chester Pike, Ridley Park, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225024888 | NPI | - | NPPES |
| 031377 | Other | AANA NUMBER | |
| P00678824 | Other | PA | RAILROAD MEDICARE |
| 102336093 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN208761L (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Anesthesia Coalition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861091290 PECOS PAC ID: 4284040189 Enrollment ID: O20210301001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie P Muetterties, CRNA Po Box 650782, Dallas, TX 75265-0782 Ph: (302) 733-0806 | Bonnie P Muetterties, CRNA 175 E Chester Pike, Ridley Park, PA 19078-2284 Ph: (610) 595-6000 |
Robert J Golder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 E Chester Pike, Ridley Park, PA 19078 Phone: 215-442-5085 Fax: 877-329-2370 | |
Mrs. Shannon K Mcclurkin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 175 E. Chester Pike, Ridley Park, PA 19078 Phone: 215-442-5085 Fax: 877-329-2370 | |
Mrs. Megan E Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 E Chester Pike, Ridley Park, PA 19078 Phone: 215-442-5085 Fax: 877-329-2370 |