| Melisa Petti, CRNA | |
|
875 Eigth St. Ne, Massillon, OH 44648-8503 | |
| (330) 834-4788 | |
| (330) 834-4789 |
| Full Name | Melisa Petti |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 875 Eigth St. Ne, Massillon, 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 |
|---|---|---|---|
| 1053742023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN267483 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | COA.15270 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Melisa Petti, CRNA Po Box 74994, Cleveland, OH 44194-4994 Ph: (614) 430-5707 | Melisa Petti, CRNA 875 Eigth St. Ne, Massillon, OH 44648-8503 Ph: (330) 834-4788 |
Michael L Mays, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2125 University Dr Se, Massillon, OH 44646 Phone: 330-833-6386 | |
April L Demali, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-834-4788 Fax: 330-834-4789 | |
Michael J Nosky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Austin Ave Nw, Massillon, OH 44646 Phone: 330-837-7200 Fax: 330-837-7572 | |
Amanda Ross, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646 Phone: 330-837-6865 | |
Renette Bardin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 | |
Eric M Kramer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-834-4788 Fax: 330-834-4789 | |
Mr. Jason C Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Austin Ave Nw, Massillon, OH 44646 Phone: 330-837-7354 Fax: 330-830-1659 |