| Dana Marie Jimenez, | |
|
1 Atwell Rd, Cooperstown, NY 13326 | |
| (607) 547-3480 | |
| Not Available |
| Full Name | Dana Marie Jimenez |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Atwell Rd, Cooperstown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235848250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 863232 (New York) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN675039 (Pennsylvania) | Secondary |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Marie Jimenez, 1 Atwell Rd, Cooperstown, NY 13326-1394 Ph: (607) 547-3480 | Dana Marie Jimenez, 1 Atwell Rd, Cooperstown, NY 13326 Ph: (607) 547-3480 |
Gary Wehner, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 | |
Carroll Borowski, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 | |
Brian E Howser, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 | |
Meredith Szyikowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-4625 | |
Sydney Leanne Deach, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 | |
Kevin J Mccaffrey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Atwell Road, Cooperstown, NY 13326 Phone: 607-547-3153 Fax: 607-547-6539 | |
Christopher J Lesko, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 |