| Jennifer L Light, CRNA | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 293-8228 | |
| (937) 293-8229 |
| Full Name | Jennifer L Light |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 3535 Southern Blvd, Kettering, 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 |
|---|---|---|---|
| 1740511427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN320925 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.11277 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apa Solutions, Llc | 0042604423 | 6 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Triad Sedation Associates Llc | 4587903448 | 6 |
| Swf Anesthesia, Llc | 3072917111 | 6 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Entity Name | Anesthesiology Services Network Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
| Entity Name | Imperial Enterprise Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295111318 PECOS PAC ID: 5799081238 Enrollment ID: O20160310000077 |
| Entity Name | Western Ohio Sedation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649777699 PECOS PAC ID: 3779848684 Enrollment ID: O20180524001261 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
| Entity Name | Apa Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881368520 PECOS PAC ID: 0042604423 Enrollment ID: O20220301000925 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Light, CRNA Po Box 932759, Cleveland, OH 44193-0015 Ph: (866) 282-7905 | Jennifer L Light, CRNA 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 |
Timberly Deann Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Brittney A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Christopher A Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Mr. Patrick Bendel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Karen Vukin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Vicki S Dursch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Jolynn K Harmon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |