| Kevin Wayne Busdiecker, AA | |
|
2500 Metro Health Drive, Cleveland, OH 44109 | |
| (216) 778-5790 | |
| Not Available |
| Full Name | Kevin Wayne Busdiecker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 2500 Metro Health Drive, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528073004 | NPI | - | NPPES |
| 414955 | Other | OH | WELLCARE MEDICAID |
| 000000232158 | Other | OH | UNISON |
| 0583328 | Other | OH | BCMH |
| 9724074 | Other | OH | AETNA |
| 000000515962 | Other | OH | ANTHEM |
| 430037559 | Other | OH | RAILROAD MEDICARE |
| 2739264 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67-000036 (Ohio) | Primary |
| Entity Name | Cleveland Anesthesia Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154407955 PECOS PAC ID: 7113830050 Enrollment ID: O20031107000151 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Wayne Busdiecker, AA 2500 Metro Health Drive, Cleveland, OH 44109 Ph: (216) 778-5790 | Kevin Wayne Busdiecker, AA 2500 Metro Health Drive, Cleveland, OH 44109 Ph: (216) 778-5790 |
Shannon Kelly, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Cailey Tingler, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Brian Michael Wheatley, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Nicole M Moses, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Michael Marcotte, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Thomas Bruno, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330 | |
Gregory G Kychun, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330 |