| Nicole Letellier, | |
|
5300 N Meadows Dr, Grove City, OH 43123-2546 | |
| (614) 663-5000 | |
| Not Available |
| Full Name | Nicole Letellier |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 5300 N Meadows Dr, Grove City, 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 |
|---|---|---|---|
| 1063114874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.441706 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0020852 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Carmel East & West | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Ohio Llc | 3779714258 | 111 |
| Entity Name | Premier Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Letellier, 366 King Ave Apt A, Columbus, OH 43201-2616 Ph: (419) 618-1253 | Nicole Letellier, 5300 N Meadows Dr, Grove City, OH 43123-2546 Ph: (614) 663-5000 |
Clayton Roush, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2977 Orders Rd, Grove City, OH 43123 Phone: 304-593-8209 | |
Randall Kinietz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5300 N Meadows Dr, Grove City, OH 43123 Phone: 614-663-5000 | |
Jacob Deemer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1649 Nature Dr, Grove City, OH 43123 Phone: 724-809-1042 |