| Jed Rivers, CRNA | |
|
205 E Palmer Rd, Bellefontaine, OH 43311 | |
| (937) 592-4015 | |
| (937) 292-7148 |
| Full Name | Jed Rivers |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 205 E Palmer Rd, Bellefontaine, Ohio |
| 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 |
|---|---|---|---|
| 1215035811 | NPI | - | NPPES |
| 3810005650 | Medicaid | WV | |
| 2667298 | Medicaid | OH | |
| 001861465 | Other | WV | MTN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 67562 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.17745 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lima Memorial Health System | Lima, OH | Hospital |
| Atrium Medical Center | Franklin, OH | Hospital |
| Mary Rutan Hospital | Bellefontaine, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lima Memorial Professional Corporation | 1254232184 | 190 |
| Anesthesia Associates Of Lima Inc | 4486553013 | 46 |
| Ohiohealth Corporation | 6305758426 | 2085 |
| Arlington Anesthesia Partners Llc | 7618344698 | 96 |
| Dayton Anesthesia And Pain Services Llc | 8022245372 | 225 |
| Marietta Memorial Hospital | 8224928965 | 353 |
| Mary Rutan Hospital | 9032013792 | 83 |
| Ohio Anesthesia Group, Inc | 9537222138 | 91 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | Mary Rutan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531 |
| Entity Name | New Albany Orthopedic Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Anesthesia Associates Of Lima Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487662300 PECOS PAC ID: 4486553013 Enrollment ID: O20040102000630 |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Entity Name | Blanchard Valley Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
| Entity Name | Marietta Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962106328 PECOS PAC ID: 8224928965 Enrollment ID: O20040317000973 |
| Entity Name | Mercer County Joint Township Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
| Entity Name | East Columbus Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619114824 PECOS PAC ID: 3870572001 Enrollment ID: O20040720000330 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Entity Name | Marion Area Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Entity Name | Dayton Anesthesia & Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
| Entity Name | Mask Anesthesia Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477965150 PECOS PAC ID: 0244456143 Enrollment ID: O20140730000952 |
| Entity Name | Malabar Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922497940 PECOS PAC ID: 9234440561 Enrollment ID: O20150612001359 |
| Entity Name | Ips Asc, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1518379205 PECOS PAC ID: 6901119890 Enrollment ID: O20150721002668 |
| Entity Name | Columbus One Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528560646 PECOS PAC ID: 3971853631 Enrollment ID: O20180830002123 |
| Entity Name | Genesis Anesthesia Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295205433 PECOS PAC ID: 0042558066 Enrollment ID: O20190215001836 |
| Entity Name | Arlington Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578209342 PECOS PAC ID: 7618344698 Enrollment ID: O20221103002030 |
| Mailing Address | Practice Location Address |
|---|---|
| Jed Rivers, CRNA 205 E Palmer Rd, Bellefontaine, OH 43311-2281 Ph: (937) 592-4015 | Jed Rivers, CRNA 205 E Palmer Rd, Bellefontaine, OH 43311 Ph: (937) 592-4015 |
Marcus R Burhanna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015 Fax: 937-292-7148 | |
Alisha R Kent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015 Fax: 937-292-7148 | |
Dustyn W. Auckerman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015 Fax: 937-292-7148 |