| Ms Myra F Mardis, CRNA | |
|
2222 Philadelphia Drive, Dayton, OH 45406-1891 | |
| (937) 278-2612 | |
| Not Available |
| Full Name | Ms Myra F Mardis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 2222 Philadelphia Drive, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1164430062 | NPI | - | NPPES |
| 000000354962 | Other | OH | ANTHEM |
| 2540576 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN286402 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Group Associates Pc | 0547233959 | 47 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Commonwealth Anesthesia, Psc | 5092627521 | 194 |
| Entity Name | Anesthesiology Group Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194761262 PECOS PAC ID: 0547233959 Enrollment ID: O20040814000039 |
| Entity Name | Apollo Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Myra F Mardis, CRNA Po Box 640446, Cincinnati, OH 45264-0446 Ph: (937) 293-0247 | Ms Myra F Mardis, CRNA 2222 Philadelphia Drive, Dayton, OH 45406-1891 Ph: (937) 278-2612 |
Kathy Waymire, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 800-394-4445 | |
Mr. Robert S Sheeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Cody Dalton Plapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Sarah Blesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Benjamin Louis Medina, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3200 | |
Rachael Allen, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 | |
Mr. Thomas B Hellman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 |