Kelli Gruss, CRNA | |
4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | |
(937) 257-3098 | |
Not Available |
Full Name | Kelli Gruss |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386338747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 0020818 (Ohio) | Primary |
Entity Name | Anesthesiology Services Network Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
Entity Name | Dayton Anesthesia & Pain Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
Mailing Address | Practice Location Address |
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Kelli Gruss, CRNA 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: () - | Kelli Gruss, CRNA 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 257-3098 |
Adam Garrison, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 88 Mdg/sghj, 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0837 | |
Ms. Susan M Perry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg, Wpafb, OH 45433 Phone: 937-257-0837 | |
Miss Virginia May Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3881 Sugar Maple Drive, Wpafb, OH 45433 Phone: 937-257-8655 | |
James Allen Wainright, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgcj, Wpafb, OH 45433 Phone: 937-257-8715 |