| David Alan Bortel, | |
|
750 E Adams St, Syracuse, NY 13210-1834 | |
| (315) 464-4720 | |
| (315) 464-4905 |
| Full Name | David Alan Bortel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 750 E Adams St, Syracuse, New York |
| 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 |
|---|---|---|---|
| 1164734810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N25139 (New York) | Secondary |
| 163W00000X | Registered Nurse | RN557755 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447357843 PECOS PAC ID: 5890689715 Enrollment ID: O20040326001197 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alan Bortel, 1201 Grampian Blvd, Po Box 3127, Williamsport, PA 17701-1900 Ph: () - | David Alan Bortel, 750 E Adams St, Syracuse, NY 13210-1834 Ph: (315) 464-4720 |
Miss Tracy Tassone, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 203 Helen St # 2, Syracuse, NY 13203 Phone: 954-817-5188 | |
Stephanie Ann Coglitore, MSN, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 204 Halcomb St, Syracuse, NY 13209 Phone: 315-727-5276 | |
Jaclyn Korver, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 108 Shonnard St, Syracuse, NY 13204 Phone: 315-435-4973 | |
Tyler Grant, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111 | |
Christopher Foote, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 329 N Salina St, Syracuse, NY 13203 Phone: 585-737-1133 | |
Martin R. Baker, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4550 | |
Colleen Susan Bartlett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 Wadsworth St, Syracuse, NY 13208 Phone: 315-435-4672 Fax: 315-435-6384 |