| Jessica Mortola, DNP CRNA | |
|
101 Civic Center Ln, Lake Havasu City, AZ 86403-5683 | |
| (928) 855-8185 | |
| Not Available |
| Full Name | Jessica Mortola |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 101 Civic Center Ln, Lake Havasu City, Arizona |
| 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 |
|---|---|---|---|
| 1548070915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 152003 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Dameron Hospital | Stockton, CA | Hospital |
| Doctors Medical Center | Modesto, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Entity Name | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20240521001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mortola, DNP CRNA 537 Norwood St, Redlands, CA 92373-5888 Ph: (805) 550-5506 | Jessica Mortola, DNP CRNA 101 Civic Center Ln, Lake Havasu City, AZ 86403-5683 Ph: (928) 855-8185 |
Maria Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2795 Poseidon Dr, Lake Havasu City, AZ 86404 Phone: 816-769-5775 | |
Ms. Nicole Genevieve Shadwick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 Fax: 928-453-0453 | |
Ramon R Orduno Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Allison Nicole Fuller, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Tawab Noori, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Grayson Fleming Mchargue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 |