| Colleen T Masternick, CRNA | |
|
8135 Market St, Youngstown, OH 44512-6244 | |
| (330) 758-0900 | |
| (330) 758-2790 |
| Full Name | Colleen T Masternick |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8135 Market St, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013984749 | NPI | - | NPPES |
| 000000644312 | Other | OH | ANTHEM BCBS |
| 0770205 | Medicaid | OH | |
| 8246361 | Other | OH | MEDICARE PTAN |
| 11932484 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-165483 (Ohio) | Primary |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen T Masternick, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Colleen T Masternick, CRNA 8135 Market St, Youngstown, OH 44512-6244 Ph: (330) 758-0900 |
Anthony Wayne Spatar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Candace Stefancin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Youngstown, OH 44512 Phone: 330-729-8000 Fax: 330-729-8084 | |
Amanda Lee Lingenfelter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Ryan C Turk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Tiffany Lynn Loughran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Ms. Donna Elaine Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-3679 |