| Mrs Stephanie Faye Patrick, RN, CRNA | |
|
4549 Raynor Court, Outpatient Anesthesia Specialists, Mason, OH 45040 | |
| (513) 204-5696 | |
| (877) 284-4283 |
| Full Name | Mrs Stephanie Faye Patrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4549 Raynor Court, Mason, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124078928 | NPI | - | NPPES |
| 2963280 | Medicaid | OH | |
| 000000532763 | Other | KY | ANTHEM BCBS |
| 7100014120 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN-286110 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA-08698 (Ohio) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie Faye Patrick, RN, CRNA Po Box 807, Outpatient Anesthesia Specialists, Mason, OH 45040-0807 Ph: (513) 204-5696 | Mrs Stephanie Faye Patrick, RN, CRNA 4549 Raynor Court, Outpatient Anesthesia Specialists, Mason, OH 45040 Ph: (513) 204-5696 |
Mr. John A Crenshaw, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4655 Manorlake Dr, Mason, OH 45040 Phone: 513-398-2198 | |
Mr. Ronald Kyle Hodgen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5700 Gateway Ste 100b, Mason, OH 45040 Phone: 513-404-4529 | |
Brandi Dressler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5023 Sunset Ridge Dr, Mason, OH 45040 Phone: 513-617-5030 |