| Derick Mostoller, | |
|
1086 Franklin St, Johnstown, PA 15905-4305 | |
| (814) 534-9000 | |
| Not Available |
| Full Name | Derick Mostoller |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1086 Franklin St, Johnstown, Pennsylvania |
| 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 |
|---|---|---|---|
| 1043818032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN674348 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conemaugh Memorial Medical Center | Johnstown, PA | Hospital |
| Nason Medical Center, Llc | Roaring spring, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grove City Anesthesia And Pain Management, Pllc | 4688860455 | 63 |
| Entity Name | Grove City Anesthesia & Pain Management, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528371556 PECOS PAC ID: 4688860455 Enrollment ID: O20101119000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Derick Mostoller, 3900 E Indiantown Rd, Jupiter, FL 33477-5085 Ph: () - | Derick Mostoller, 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 534-9000 |
Mrs. Jamie Elizabeth Okopal, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9321 | |
Mrs. Melissa Ann Pribozie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 | |
Ms. Mariann M Cerimele, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Beta Dr, Johnstown, PA 15904 Phone: 814-266-4444 | |
Jason A Lehman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9000 | |
Mary Jo Kohler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3931 Fax: 814-534-9715 | |
Margaret Bero, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-3931 |