| Matthew Diedrich, CRNA | |
|
34th Street & Civic Ctr Blvd, Suite 9329, Philadelphia, PA 19104 | |
| (215) 590-1858 | |
| (215) 977-8351 |
| Full Name | Matthew Diedrich |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 34th Street & Civic Ctr Blvd, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1679660534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN524586L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ncb Anesthesia Associates, Llc | 1557726130 | 19 |
| Ncb Anesthesia Associates, Llc | 1557726130 | 19 |
| Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
| Entity Name | Ncb Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962102582 PECOS PAC ID: 1557726130 Enrollment ID: O20240506003304 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Diedrich, CRNA 100 N 20th St, Suite 200, Philadelphia, PA 19103-1443 Ph: (215) 977-8100 | Matthew Diedrich, CRNA 34th Street & Civic Ctr Blvd, Suite 9329, Philadelphia, PA 19104 Ph: (215) 590-1858 |
Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900 | |
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Heather Moore, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-4000 | |
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000 | |
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 |