| Jeremiah James Palicka, RN, CRNA | |
|
1625 N Campbell Ave, Tucson, AZ 85719-4330 | |
| (520) 694-0111 | |
| Not Available |
| Full Name | Jeremiah James Palicka |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 1625 N Campbell Ave, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1184236531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN210075 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024187576 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Virginia, Llc | 6608268826 | 372 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah James Palicka, RN, CRNA 6968 W Tacna Dr, Tucson, AZ 85743-1422 Ph: (520) 603-2259 | Jeremiah James Palicka, RN, CRNA 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 694-0111 |
Eric Stanley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 | |
Steven Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-827-8448 | |
Silvia Galvan Druke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave Rm 5301, Tucson, AZ 85724 Phone: 520-626-7221 Fax: 520-626-6943 | |
Christy Mccrea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 Fax: 877-848-1457 | |
Alice C Dastrup, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 | |
Devin Holt, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 | |
Brigette Vyborny, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 420-694-0111 |