| Jason Gale Bakkala, CRNA | |
|
565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 | |
| (412) 469-5000 | |
| (412) 469-7174 |
| Full Name | Jason Gale Bakkala |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 565 Coal Valley Rd, Jefferson Hills, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891490058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN678068 (Pennsylvania) | Primary |
| Entity Name | St Clair Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154380384 PECOS PAC ID: 5294627345 Enrollment ID: O20040325000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Gale Bakkala, CRNA 1473 Jenkins Dr, Pittsburgh, PA 15241-3313 Ph: (808) 271-9202 | Jason Gale Bakkala, CRNA 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 Ph: (412) 469-5000 |
Mrs. Victoria L Riley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174 | |
Adam A Barone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174 | |
Ms. Nicole Marie De Gortari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174 | |
Jennifer Vlahos, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 | |
Kerrie Reffert, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174 | |
Sarah E Griener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174 | |
Ashley Rae Wehner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 |