| Mrs Jaclyn M Peddle, CRNA | |
|
100 Ter Heun Dr, Falmouth, MA 02540-2503 | |
| (508) 457-3580 | |
| Not Available |
| Full Name | Mrs Jaclyn M Peddle |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 100 Ter Heun Dr, Falmouth, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679909303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2289121 (Massachusetts) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 345574 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medina Hospital | Medina, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jaclyn M Peddle, CRNA 100 Ter Heun Dr, Falmouth, MA 02540-2503 Ph: (508) 457-3580 | Mrs Jaclyn M Peddle, CRNA 100 Ter Heun Dr, Falmouth, MA 02540-2503 Ph: (508) 457-3580 |
Miss Nancy Jeanne Woitkoski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Ter Heun Drive, Falmouth Hospital, Falmouth, MA 02540 Phone: 508-457-3580 Fax: 508-457-3955 | |
Rebecca Hawley Dudek, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-548-5300 | |
Tarsilla Witkos, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-548-5300 Fax: 508-548-5789 | |
Maurice Tripanier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-548-5300 Fax: 508-548-5789 |