| Mrs Tracie Loscalzo, CRNA | |
|
1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | |
| (540) 741-7614 | |
| Not Available |
| Full Name | Mrs Tracie Loscalzo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1001 Sam Perry Blvd, Fredericksburg, Virginia |
| 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 |
|---|---|---|---|
| 1497983845 | NPI | - | NPPES |
| P00753285 | Other | NM | RR MEDICARE |
| 36238813 | Medicaid | NM | |
| 454719 | Medicaid | AZ | |
| 92473075 | Medicaid | CO | |
| 1497983845 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN69034 (New Mexico) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024169473 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Mary Washington Hospital | Fredericksburg, VA | Hospital |
| Stafford Hospital, Llc | Stafford, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medidoctors Llc | 5991605826 | 112 |
| Anesthesia Associates Of Coeur D Alene Pllc | 2365427838 | 49 |
| Entity Name | Medidoctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821033010 PECOS PAC ID: 5991605826 Enrollment ID: O20040108001127 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Professional Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619149648 PECOS PAC ID: 8527133677 Enrollment ID: O20090122000416 |
| Entity Name | Central Virginia Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740820976 PECOS PAC ID: 8123438744 Enrollment ID: O20201110000211 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210305001705 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracie Loscalzo, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (800) 280-9533 | Mrs Tracie Loscalzo, CRNA 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (540) 741-7614 |
Melyssa Carroll Mooney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Jennifer Lynn Bridy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Kelly N Petz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 800-394-4445 Fax: 706-955-0720 | |
Amy Ann Uriell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 844-454-0171 | |
Alexis Stadsklev, DNP APRN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1100 | |
Rodger Alan Oren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 | |
Jeanette Nargi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 540-741-7615 |