| Mr Dominick P Palmisano, CRNA | |
|
1202 N Muskogee Pl, Claremore, OK 74017-3058 | |
| (918) 392-4456 | |
| (918) 392-4465 |
| Full Name | Mr Dominick P Palmisano |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 47 Years |
| Location | 1202 N Muskogee Pl, Claremore, Oklahoma |
| 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 |
|---|---|---|---|
| 1295709939 | NPI | - | NPPES |
| 100783690A | Medicaid | OK | |
| 1285810051 | Other | OK | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0049310 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Plains Anesthesia Pllc | 9133431935 | 12 |
| Entity Name | Ahs Oklahoma Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Entity Name | Anesthesia Associates Of Oklahoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
| Entity Name | Great Plains Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285020362 PECOS PAC ID: 9133431935 Enrollment ID: O20150708001112 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dominick P Palmisano, CRNA 7912 E 31st Ct, Tulsa, OK 74145-1315 Ph: (918) 392-4456 | Mr Dominick P Palmisano, CRNA 1202 N Muskogee Pl, Claremore, OK 74017-3058 Ph: (918) 392-4456 |
Kim M Schorer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17561 E 450 Rd, Claremore, OK 74017 Phone: 509-393-3708 | |
Richard B Freeborn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 Fax: 918-342-7850 | |
Tina L Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-392-4456 Fax: 918-392-4465 | |
Mrs. Lavonna K Sanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 Fax: 918-342-2304 | |
Melissa Morris White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 N Muskogee Pl, Claremore, OK 74017 Phone: 918-341-2556 | |
Mr. Joshua Bootz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 S Moore Ave, Claremore, OK 74017 Phone: 918-342-6200 |