| Mr Benjamin Blanco, CRNA | |
|
801 Ostrum St, Fountain Hill, PA 18015-1000 | |
| (484) 526-4000 | |
| Not Available |
| Full Name | Mr Benjamin Blanco |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 801 Ostrum St, Fountain Hill, 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 |
|---|---|---|---|
| 1255609376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN679646 (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00384300 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Luke's Hospital - Easton Campus | Easton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Specialists Of Bethlehem Pc | 1355254533 | 248 |
| Entity Name | Anesthesia Specialists Of Bethlehem Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851349302 PECOS PAC ID: 1355254533 Enrollment ID: O20031112000676 |
| 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 | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Bethlehem Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467691014 PECOS PAC ID: 6608862404 Enrollment ID: O20090708000349 |
| Entity Name | Nazareth Endoscopy Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508400920 PECOS PAC ID: 6002245776 Enrollment ID: O20200331002928 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Blanco, CRNA 14 Meadow Ln, Old Bridge, NJ 08857-2563 Ph: (732) 754-7733 | Mr Benjamin Blanco, CRNA 801 Ostrum St, Fountain Hill, PA 18015-1000 Ph: (484) 526-4000 |
Julienne Baumeister, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Fountain Hill, PA 18015 Phone: 484-526-4000 | |
Daniel Goral, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Fountain Hill, PA 18015 Phone: 484-526-4000 | |
Jennifer Decardona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Fountain Hill, PA 18015 Phone: 610-954-5810 | |
Mr. Sean Michael Vanbastelaar, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Fountain Hill, PA 18015 Phone: 610-954-5810 | |
Miss Erika Orfe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Fountain Hill, PA 18015 Phone: 484-526-4000 |