| Carlo P Balmaseda, CRNA | |
|
1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | |
| (317) 517-4200 | |
| (317) 517-4200 |
| Full Name | Carlo P Balmaseda |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
| 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 |
|---|---|---|---|
| 1114583564 | NPI | - | NPPES |
| 1102564235 | Medicaid | IN | |
| 1102564235 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28199938A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28199938A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Care Associates Inc | 5799755864 | 914 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Hendricks County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536163 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Aas Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlo P Balmaseda, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Carlo P Balmaseda, CRNA 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 517-4200 |
Tanner J Hulin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-4200 | |
Casey N Randolph, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-9503 | |
Steven G Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-4200 |