| Jenna Marie Mcintosh, AA | |
|
7007 Powers Blvd, Parma, OH 44129-5437 | |
| (440) 350-0832 | |
| (440) 354-7420 |
| Full Name | Jenna Marie Mcintosh |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 7007 Powers Blvd, Parma, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891922290 | NPI | - | NPPES |
| 3024837 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000150 (Ohio) | Primary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Marie Mcintosh, AA 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 | Jenna Marie Mcintosh, AA 7007 Powers Blvd, Parma, OH 44129-5437 Ph: (440) 350-0832 |
Nada Tayeh, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7831 Hickory Hill Ln, Parma, OH 44130 Phone: 216-376-9098 | |
Doug A Marsh, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-350-0832 Fax: 440-354-7420 | |
Jacob K Rasanow, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-350-0832 Fax: 440-579-0191 | |
Dr. Brian Paul Radesic, CRNA, DNP Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7007 Powers Blvd, Parma, OH 44129 Phone: 440-743-3000 |