| Jennifer L Bourne, CRNA | |
|
200 E State St, Alliance, OH 44601-4936 | |
| (330) 596-7227 | |
| (330) 596-7214 |
| Full Name | Jennifer L Bourne |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 200 E State St, Alliance, Ohio |
| 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 |
|---|---|---|---|
| 1871829291 | NPI | - | NPPES |
| 3016864 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN301467 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliance Community Hospital | Alliance, OH | Hospital |
| Ohiohealth O'bleness Hospital | Athens, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohiohealth Corporation | 6305758426 | 2085 |
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 137 |
| Optimum Anesthesia | 9638326432 | 40 |
| 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 | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| 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 | Optimum Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851656854 PECOS PAC ID: 9638326432 Enrollment ID: O20120830000216 |
| Entity Name | Wooster Pain And Anesthesia Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616947 PECOS PAC ID: 1557500782 Enrollment ID: O20130620000172 |
| Entity Name | Premier Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Entity Name | Coshocton Anesthesia Professionals Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770128795 PECOS PAC ID: 2264866169 Enrollment ID: O20191231002278 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Bourne, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Jennifer L Bourne, CRNA 200 E State St, Alliance, OH 44601-4936 Ph: (330) 596-7227 |
Patricia E Dumovic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 East State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Margaret Elizabeth Wood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-4000 Fax: 330-829-4533 | |
Susan C Thomas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7227 | |
Janice Ann Foley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7157 Fax: 330-596-7214 | |
Theresa Lynne Roth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-286-5330 Fax: 330-286-5396 | |
Anna M Lang-clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Barbara M Mastriana, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E. State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 |