| Jacen Knowlton, CRNA | |
|
2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | |
| (203) 929-7353 | |
| Not Available |
| Full Name | Jacen Knowlton |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 2 Trap Falls Rd Ste 414, Shelton, Connecticut |
| 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 |
|---|---|---|---|
| 1558830943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 131798 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valleywise Health Medical Center | Phoenix, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| District Medical Group Inc | 7315086691 | 406 |
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Hospitalist Medicine Physicians Of Arizona - Nogales |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487251799 PECOS PAC ID: 9335554625 Enrollment ID: O20210218002429 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacen Knowlton, CRNA 99 East River Drive, 5th Floor, East Hartford, CT 06108-7301 Ph: (860) 282-0833 | Jacen Knowlton, CRNA 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 Ph: (203) 929-7353 |
Rebecca Anne Kiss, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 Corporate Dr Ste 9559th, Shelton, CT 06484 Phone: 860-929-7353 | |
Natalie Berardesca, GRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trap Falls Road, Suite 414, Shelton, CT 06484 Phone: 203-929-7353 Fax: 203-929-0756 | |
Sophia Sopczneski, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2 Corporate Dr Ste 955, Shelton, CT 06484 Phone: 860-929-7353 | |
Gloria Bienkowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Armstrong Rd, Shelton, CT 06484 Phone: 203-929-7353 | |
Lisa Ramondetta, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Corporate Dr Fl 9, Shelton, CT 06484 Phone: 203-929-7353 Fax: 203-929-0756 | |
Michelle M Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trap Falls Road, Suite 414, Shelton, CT 06484 Phone: 203-929-7353 Fax: 203-929-0756 | |
Dinko Petrov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trap Falls Rd Ste 414, Shelton, CT 06484 Phone: 203-929-7353 Fax: 203-929-0756 |