| Jon M Raimonde, CRNA | |
|
1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396 | |
| (419) 783-6944 | |
| (419) 783-4416 |
| Full Name | Jon M Raimonde |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1200 Ralston Ave, Defiance, Ohio |
| 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 |
|---|---|---|---|
| 1306821970 | NPI | - | NPPES |
| 430074066 | Other | OH | RRMC |
| 000000223183 | Other | OH | ANTHEM |
| 2207589 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-248250 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon M Raimonde, CRNA 1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396 Ph: (419) 783-6944 | Jon M Raimonde, CRNA 1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396 Ph: (419) 783-6944 |
Mr. Douglas Lee, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Kelsi S Belcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6944 Fax: 419-783-4416 | |
Krista L Volk, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512 Phone: 419-783-6944 Fax: 419-786-4416 | |
Matthew Radwan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1404 E 2nd St, Defiance, OH 43512 Phone: 419-782-8444 | |
Mr. Jon Bradford Stokey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19198 Blosser Rd, Defiance, OH 43512 Phone: 419-658-2979 Fax: 419-658-2979 | |
Mr. James Robert Atwell, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-2799 |