| Marissa B Van Allen, CRNA | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 298-4331 | |
| Not Available |
| Full Name | Marissa B Van Allen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| 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 |
|---|---|---|---|
| 1790212132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019477 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metro Health Hospital | Wyoming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Consultants, Pc | 3678751658 | 89 |
| Entity Name | West Michigan Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018 |
| Entity Name | Anesthesia Medical Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa B Van Allen, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Marissa B Van Allen, CRNA 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 298-4331 |
Timberly Deann Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Brittney A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Christopher A Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Mr. Patrick Bendel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Karen Vukin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Vicki S Dursch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Jolynn K Harmon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |