| Krista L Fuller, CRNA | |
|
214 King Street, Ogdensburg, NY 13669 | |
| (315) 393-3600 | |
| (315) 393-7250 |
| Full Name | Krista L Fuller |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 214 King Street, Ogdensburg, New York |
| 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 |
|---|---|---|---|
| 1003273996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 599740 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canton-potsdam Hospital | 6204827280 | 199 |
| Gouverneur Hospital | 9931336724 | 25 |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista L Fuller, CRNA 214 King Street, Ogdensburg, NY 13669 Ph: (315) 393-3600 | Krista L Fuller, CRNA 214 King Street, Ogdensburg, NY 13669 Ph: (315) 393-3600 |
Robert E Larock, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Steven Doyle, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Kristi-ann Lyga, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-7250 | |
Robert J Smith, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Steve O Cole, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
William C Oneill, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 |