| Courtenay M Daumeyer, CRNA | |
|
3535 Southern Blvd, Rettering, OH 45429 | |
| (937) 293-8228 | |
| (937) 208-3843 |
| Full Name | Courtenay M Daumeyer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 3535 Southern Blvd, Rettering, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205961729 | NPI | - | NPPES |
| 0180049 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.02583 (Ohio) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA-02583 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Anesthesia Associates, Inc | 0648170365 | 35 |
| Anesthesia Services Of Greater Dayton Llc | 1658520747 | 14 |
| Sandusky Anesthesia Llc | 3274895271 | 109 |
| Entity Name | Kettering Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689627739 PECOS PAC ID: 0648170365 Enrollment ID: O20040109000871 |
| Entity Name | Outpatient Anesthesia Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891976643 PECOS PAC ID: 1456431162 Enrollment ID: O20080108000408 |
| Entity Name | Anesthesia Services Of Greater Dayton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407132830 PECOS PAC ID: 1658520747 Enrollment ID: O20121004000714 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtenay M Daumeyer, CRNA 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-6173 | Courtenay M Daumeyer, CRNA 3535 Southern Blvd, Rettering, OH 45429 Ph: (937) 293-8228 |