Brandy L Cooley-debolt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dover, OH

  1. Home
  2. Nurse Anesthetist - CR
  3. OH
  4. Dover
Brandy L Cooley-debolt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dover, Ohio. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southwest Ohio Anesthesia Consultants Llc and her current practice location is 659 Boulevard St, Dover, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 602-0767.

Brandy L Cooley-debolt is licensed to practice in Ohio (license number RN292699) 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 1801940671.

Contact Information

Brandy L Cooley-debolt, CRNA
659 Boulevard St,
Dover, OH 44622-2026
(330) 602-0767
(330) 365-3831

Map and Direction




Provider's Profile

Full NameBrandy L Cooley-debolt
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location659 Boulevard St, Dover, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandy L Cooley-debolt graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1801940671
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 04/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8527162742
  • Enrollment ID: I20070328000425

Medical Identifiers

Medical identifiers for Brandy L Cooley-debolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801940671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN292699 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeastern Ohio Regional Medical CenterCambridge, OHHospital
Grant Medical CenterColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Ohio Anesthesia Consultants Llc6901700640331

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. Brandy L Cooley-debolt allows following entities to bill medicare on her behalf.
Entity NameSouthwest Ohio Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399
Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069
Entity NameNorthstar Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005
Entity NameTrinity Hospital Twin City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992096192
PECOS PAC ID: 6204004534
Enrollment ID: O20111206000207

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. Brandy L Cooley-debolt 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 AddressPractice Location Address
Brandy L Cooley-debolt, CRNA
659 Boulevard St,
Dover, OH 44622-2026

Ph: (330) 602-0767		Brandy L Cooley-debolt, CRNA
659 Boulevard St,
Dover, OH 44622-2026

Ph: (330) 602-0767

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dover, OH

Robert L Ward, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-602-0767    Fax: 330-365-3831
Staci Ann Christner, C.R.N.A
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-602-0767    Fax: 330-365-3831
Stacy A Lapish, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-602-0767    Fax: 330-365-3831
Durrell Beachy,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-343-3311    
Anne M Taylor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-602-0767    Fax: 330-365-3831
Mr. Kevin T Groh, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 659 Boulevard St, Dover, OH 44622
Phone: 330-602-0767    Fax: 330-365-3831

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.