| Jacob Heeter, CRNA | |
|
907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 | |
| (781) 344-2325 | |
| (781) 341-8544 |
| Full Name | Jacob Heeter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 907 Sumner St. Suite M201, Stoughton, Massachusetts |
| 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 |
|---|---|---|---|
| 1568860187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2297563 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2297563 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olympic Medical Center | Port angeles, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Physicians Anesthesia Service Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417962200 PECOS PAC ID: 6901792365 Enrollment ID: O20040224000589 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20211021002476 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Heeter, CRNA 1229 Madison St, Ste 1440, Seattle, WA 98104-3538 Ph: (781) 344-2325 | Jacob Heeter, CRNA 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 Ph: (781) 344-2325 |
Elizabeth Ann Brady, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 909 Sumner St, Stoughton, MA 02072 Phone: 781-344-2325 | |
Kimberly A Amouzgar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 Plain Drive, C/o Ma Anesthesia Corp., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8269 | |
Marion Bragdon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 Sumner St, Suite M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Michael Sera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St, M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Catherine C Eberly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 | |
Janet C Paninski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 |