| Ms Carol Lynn Stark, CRNA | |
|
1163 Country Club Road, Monongahela, PA 15063-1095 | |
| (724) 258-1000 | |
| (724) 258-1394 |
| Full Name | Ms Carol Lynn Stark |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1163 Country Club Road, Monongahela, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134216021 | NPI | - | NPPES |
| ST22201 | Other | PA | BLUE SHIELD |
| 220130 | Other | PA | UPMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN224333L (Pennsylvania) | Primary |
| Entity Name | Mon Vale Clinical Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013388271 PECOS PAC ID: 4385941012 Enrollment ID: O20160324000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Lynn Stark, CRNA 1163 Country Club Road, Monongahela, PA 15063-1095 Ph: (724) 258-1000 | Ms Carol Lynn Stark, CRNA 1163 Country Club Road, Monongahela, PA 15063-1095 Ph: (724) 258-1000 |
Mr. Jeremy Joseph Ortolona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1163 Country Club Rd, Monongahela, PA 15063 Phone: 724-258-1000 Fax: 724-258-1364 | |
Susan E Nagy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1163 Country Club Rd, Monongahela, PA 15063 Phone: 724-258-1000 Fax: 724-258-1394 | |
Darla M Uniejewski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1163 Country Club Road, Monongahela, PA 15063 Phone: 724-258-1000 Fax: 724-258-1394 | |
Prof. Maryann Muncie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Country Club Road, Monongahela, PA 15063 Phone: 724-258-1060 | |
Ms. Carol Ann Baxter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1163 Country Club Road, Monongahela, PA 15063 Phone: 724-258-1000 Fax: 724-258-1394 | |
Michele Urick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1163 Country Club Road, Monongahela, PA 15063 Phone: 724-258-1000 Fax: 724-258-1394 |