| Demir Ahmetovic, CRNA | |
|
110 W 6th St, Oswego, NY 13126-2598 | |
| (315) 349-5511 | |
| Not Available |
| Full Name | Demir Ahmetovic |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 110 W 6th St, Oswego, 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 |
|---|---|---|---|
| 1487361945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 145722 (New York) | Primary |
| Entity Name | U Of R Anesthesiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806488 PECOS PAC ID: 3476451105 Enrollment ID: O20031219000433 |
| Entity Name | North American Partners In Anesthesia Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
| Entity Name | Oswego Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871678458 PECOS PAC ID: 4981686045 Enrollment ID: O20040602001275 |
| Mailing Address | Practice Location Address |
|---|---|
| Demir Ahmetovic, CRNA 338 Jamesville Ave Apt 4a, Syracuse, NY 13210-3268 Ph: (585) 298-3023 | Demir Ahmetovic, CRNA 110 W 6th St, Oswego, NY 13126-2598 Ph: (315) 349-5511 |
Mrs. Amie Ellene Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Kathy Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 West Sixth St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-349-5785 | |
Mr. John Joseph Meade, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-349-5785 | |
Manolito Ramirez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5598 | |
Charrisse M Morada, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 Fax: 315-349-5785 | |
Kevin Goodwin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5733 |