| Johannes Jack Bartley, CRNA | |
|
22 Bramhall St, Portland, ME 04102-3134 | |
| (801) 910-1089 | |
| Not Available |
| Full Name | Johannes Jack Bartley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 22 Bramhall St, Portland, Maine |
| 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 |
|---|---|---|---|
| 1194217281 | NPI | - | NPPES |
| 3151131 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA203060 (Maine) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 113592-23 (New Hampshire) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| York Hospital | York, ME | Hospital |
| Central Maine Medical Center | Lewiston, ME | Hospital |
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| York Hospital | 6406766781 | 202 |
| Mercy Hospital | 6103737812 | 307 |
| Central Maine Medical Center | 2567379563 | 344 |
| Entity Name | Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534 |
| Entity Name | Central Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20040514000890 |
| Entity Name | York Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065 |
| Entity Name | Bridgton Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040902000362 |
| Entity Name | Rumford Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205991122 PECOS PAC ID: 3870583511 Enrollment ID: O20061104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Johannes Jack Bartley, CRNA 22 Bramhall St, Portland, ME 04102-3134 Ph: Not Available | Johannes Jack Bartley, CRNA 22 Bramhall St, Portland, ME 04102-3134 Ph: (801) 910-1089 |
Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |
Katherine Rioux, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 |
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277 |
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |
Cole Barski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Fore River Pkwy, Portland, ME 04102 Phone: 207-879-3000 |