| Mr Michael J Brasko, CRNA | |
|
1171 Pioneer Pass, Norwalk, OH 44857-8928 | |
| (419) 706-4150 | |
| Not Available |
| Full Name | Mr Michael J Brasko |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1171 Pioneer Pass, Norwalk, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194785360 | NPI | - | NPPES |
| 0773962 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN142586 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN266011 (Ohio) | Primary |
| Entity Name | North Central Ohio Family Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
| Entity Name | Firelands Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811906340 PECOS PAC ID: 9032143334 Enrollment ID: O20050926001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Brasko, CRNA 1171 Pioneer Pass, Norwalk, OH 44857-8928 Ph: (419) 706-4150 | Mr Michael J Brasko, CRNA 1171 Pioneer Pass, Norwalk, OH 44857-8928 Ph: (419) 706-4150 |
Queen Ngwangong Mitti, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Scott Michael Elliott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 440-781-9318 |