| Johanna Davidson, CRNA | |
|
1050 Delaware Ave, Marion, OH 43302-6416 | |
| (740) 383-7778 | |
| (740) 375-8174 |
| Full Name | Johanna Davidson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 1050 Delaware Ave, Marion, 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 |
|---|---|---|---|
| 1558392308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.00327-NA (Ohio) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN238940 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyandot Memorial Hospital | Upper sandusky, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyandot Memorial Hospital | 1557340189 | 70 |
| Entity Name | Wyandot Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554475 PECOS PAC ID: 1557340189 Enrollment ID: O20040716001163 |
| Entity Name | Wyandot Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477554475 PECOS PAC ID: 1557340189 Enrollment ID: O20061104000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Davidson, CRNA # L-3652, Columbus, OH 43260-6052 Ph: (740) 383-7927 | Johanna Davidson, CRNA 1050 Delaware Ave, Marion, OH 43302-6416 Ph: (740) 383-7778 |
Brittney A. Bracone, APRN.CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 |
Shawn A Barkalow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 |
Elizabeth A Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 |
Kourtney Jane Snyder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 |
Shanlee Jane Woodward, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 |
Matthew Ryan Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 Fax: 740-383-7068 |
Ms. Mary P Clemons, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8400 |