| Mr Shane Lawrence Pelanda, CRNA | |
|
4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 | |
| (330) 286-5330 | |
| (330) 286-5396 |
| Full Name | Mr Shane Lawrence Pelanda |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 4135 Boardman Canfield Rd, Canfield, 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 |
|---|---|---|---|
| 1982909610 | NPI | - | NPPES |
| 12241994 | Other | CAQH | |
| 3128930 | Medicaid | OH | |
| 000000761030 | Other | OH | ANTHEM BCBS |
| H088220 | Other | OH | MEDICARE PTAN |
| P01135540 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA-12110-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Liverpool City Hospital | East liverpool, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Liverpool Anesthesia Professionals | 3971038126 | 6 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | Safe Anesthesia Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743 |
| Entity Name | Coshocton Anesthesia Professionals Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770128795 PECOS PAC ID: 2264866169 Enrollment ID: O20191231002278 |
| Entity Name | East Liverpool Anesthesia Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790504413 PECOS PAC ID: 3971038126 Enrollment ID: O20241125001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Lawrence Pelanda, CRNA 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 480-3658 | Mr Shane Lawrence Pelanda, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 |
Mr. Robert Daniluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406 Phone: 330-286-5330 | |
Sandra L Marin-reay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 53 Neff Dr, Canfield, OH 44406 Phone: 330-533-4405 Fax: 330-533-4405 | |
Josephine J Jarbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-286-5330 Fax: 330-286-5396 | |
Candia S Zlenka, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-702-1489 Fax: 330-702-1545 |