| Max A Yesalavage, | |
|
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
| (570) 522-2000 | |
| Not Available |
| Full Name | Max A Yesalavage |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 1 Hospital Dr, Lewisburg, 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 |
|---|---|---|---|
| 1851543516 | NPI | - | NPPES |
| 1024154190002 | Medicaid | PA | |
| 3633568000 | Other | PA | IBC |
| 9358458 | Other | PA | AETNA |
| 121176 | Other | PA | GEISINGER |
| 2082635 | Other | PA | FIRST PRIORITY |
| 50081140 | Other | PA | CAPITAL ADVANTAGE |
| 11945331 | Other | PA | CAQH |
| 1585282 | Other | PA | GATEWAY |
| 2082635 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 081789 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN518009-L (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Entity Name | Lehigh Valley Anesthesia Services, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
| Entity Name | Northeastern Anesthesia Physicians P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275594830 PECOS PAC ID: 8820996853 Enrollment ID: O20031229000532 |
| Entity Name | Lehigh Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Gulfstream Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992713242 PECOS PAC ID: 2365418241 Enrollment ID: O20050601000415 |
| Entity Name | Hazleton Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073841698 PECOS PAC ID: 2365584141 Enrollment ID: O20100115000709 |
| Entity Name | Forty Fort Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346600038 PECOS PAC ID: 8628375763 Enrollment ID: O20160405000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Max A Yesalavage, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Max A Yesalavage, 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-2000 |
Mrs. Sandra Walker, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2499 Fax: 570-768-3911 | |
Mrs. Rosemary S Berg, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Ms. Debra S. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2000 | |
Mr. Gerald John Briskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Ms. Amanda M Kissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2000 | |
Brian Nungesser, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2000 | |
Elizabeth Bzdil Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Drive, Lewisburg, PA 17837 Phone: 570-522-2928 Fax: 570-522-4171 |