| Mr Jason G Smith, APRN | |
|
267 Grant St, Bridgeport, CT 06610-2805 | |
| (203) 384-3072 | |
| (203) 384-4619 |
| Full Name | Mr Jason G Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 267 Grant St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366671026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 004146 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 071219 (Connecticut) | Primary |
| Entity Name | Bridgeport Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174549257 PECOS PAC ID: 7113824616 Enrollment ID: O20031215000038 |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Entity Name | Stamford Anesthesiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376608448 PECOS PAC ID: 9335191667 Enrollment ID: O20050215000851 |
| Entity Name | Amsurg Stamford Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942622378 PECOS PAC ID: 6305066341 Enrollment ID: O20140925001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason G Smith, APRN 7365 Main St, Suite 310, Stratford, CT 06614-1300 Ph: (203) 384-3072 | Mr Jason G Smith, APRN 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3072 |
Caitlin Van Ess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 860-576-5000 | |
Cleofas Espinoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Kelly Takacs, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Main Street, Saint Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Tara Seiler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Main St, St Vincents Medical Center, Bridgeport, CT 06604 Phone: 203-929-7353 Fax: 203-929-0756 | |
Peter Jakubowski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St Vincents Medical Center, Bridgeport, CT 06606 Phone: 203-929-7353 Fax: 203-929-0756 | |
Sabrenda Tecola Littles, CRNA, R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Mrs. Marla Jean Peterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport Hospital, Bridgeport, CT 06610 Phone: 203-384-3801 Fax: 203-384-4619 |