| Mr Donald Ray Allen Ii, CRNA | |
|
1031 W Western Reserve Rd, Poland, OH 44514-3541 | |
| (330) 965-0900 | |
| (330) 965-9250 |
| Full Name | Mr Donald Ray Allen Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1031 W Western Reserve Rd, Poland, Ohio |
| 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 |
|---|---|---|---|
| 1447208251 | NPI | - | NPPES |
| 2625298 | Medicaid | OH | |
| 8236623 | Other | OH | MEDICARE |
| P00999006 | Other | PA | MEDICARE RAILROAD |
| 098543FAM | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN 271871 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN575013 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimum Anesthesia | 9638326432 | 40 |
| Musc Community Physicians | 6507260668 | 984 |
| Optimum Anesthesia | 9638326432 | 40 |
| Entity Name | Optimum Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851656854 PECOS PAC ID: 9638326432 Enrollment ID: O20120830000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald Ray Allen Ii, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Mr Donald Ray Allen Ii, CRNA 1031 W Western Reserve Rd, Poland, OH 44514-3541 Ph: (330) 965-0900 |
Donna J Kempe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Melissa Marie Hudzik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2343 Knollwood Ave, Poland, OH 44514 Phone: 330-774-3505 | |
Kathy A Mastriana, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Kirsten R Yurich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 | |
Gregory P Szewczyk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1031 W Western Reserve Rd, Poland, OH 44514 Phone: 330-965-0900 Fax: 330-965-9250 |