| Jaclyn Young, CRNA | |
|
489 State St, Bangor, ME 04401-6616 | |
| (207) 992-4032 | |
| Not Available |
| Full Name | Jaclyn Young |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 489 State St, Bangor, Maine |
| 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 |
|---|---|---|---|
| 1528629888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA193028 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospital | Omaha, NE | Hospital |
| Chi Health Creighton University Medical Center - B | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Eye Care Pc | 8628960572 | 24 |
| Chi Health Clinic Physician Enterprise-anesthesia Llc | 2264794569 | 224 |
| Anesthesia West Pc | 4789596834 | 72 |
| Entity Name | Anesthesia West PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508899568 PECOS PAC ID: 4789596834 Enrollment ID: O20031105000662 |
| Entity Name | Midwest Eye Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750360897 PECOS PAC ID: 8628960572 Enrollment ID: O20040902000798 |
| Entity Name | CHI Health Clinic Physician Enterprise-anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356858419 PECOS PAC ID: 2264794569 Enrollment ID: O20180404000022 |
| Entity Name | Ttb Services Prof LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962743492 PECOS PAC ID: 3476797135 Enrollment ID: O20220629001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Young, CRNA 294 W Broadway, Bangor, ME 04401-5871 Ph: Not Available | Jaclyn Young, CRNA 489 State St, Bangor, ME 04401-6616 Ph: (207) 992-4032 |
Jaime Lee Naughton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 |
Adam Wilcox, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 |
Susan Lind, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 |
Mrs. Elizabeth R Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 |
Austin Raines, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-7000 |
Jesse Knowlton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508 |
Shelby Peppers, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-9503 |