| Mr Stephen Bertsch, CRNA | |
|
4th Street, Building 166, Fort Irwin, CA 92310 | |
| (760) 380-3203 | |
| Not Available |
| Full Name | Mr Stephen Bertsch |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4th Street, Fort Irwin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124440755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN602206 (Pennsylvania) | Primary |
| Entity Name | Premier Anesthesia Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Bertsch, CRNA 8431 Remagen St, Unit B, Fort Irwin, CA 92310-2409 Ph: (717) 512-1832 | Mr Stephen Bertsch, CRNA 4th Street, Building 166, Fort Irwin, CA 92310 Ph: (760) 380-3203 |
Karla Katigbak, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: North Loop Road, Bldg 390, Fort Irwin, CA 92310 Phone: 760-383-5480 | |
Corey Wade Jones, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 390 North Loop Road, Fort Irwin, CA 92310 Phone: 256-337-3147 | |
Mr. Robert Gene Lehtonen Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Bldg. 390 N. Loop Road, Fort Irwin, CA 92310 Phone: 866-957-9224 | |
Tazariya Williams, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4665 Omaha Beach St, Fort Irwin, CA 92310 Phone: 254-290-9826 | |
Mr. Neil S Hurd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4th And Inner Loop, Fort Irwin, CA 92310 Phone: 760-380-5388 |