| Paul R Jaselskis, CRNA | |
|
461 Nursery Dr N, Mechanicsburg, PA 17055-7017 | |
| (717) 795-1977 | |
| Not Available |
| Full Name | Paul R Jaselskis |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 461 Nursery Dr N, Mechanicsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699701920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN507048L (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NR08840300 (New Jersey) | Secondary |
| Entity Name | Nmg Southpark Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952690109 PECOS PAC ID: 6901075977 Enrollment ID: O20110808000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R Jaselskis, CRNA 461 Nursery Dr N, Mechanicsburg, PA 17055-7017 Ph: (717) 795-1977 | Paul R Jaselskis, CRNA 461 Nursery Dr N, Mechanicsburg, PA 17055-7017 Ph: (717) 795-1977 |
George T Byrnes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Cumberland Pkwy, Mechanicsburg, PA 17055 Phone: 717-697-6020 Fax: 717-697-0263 | |
Roman J Supan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Technology Pkwy, Mechanicsburg, PA 17050 Phone: 717-782-3282 Fax: 717-231-8964 | |
Robin Louise Crowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Technology Pkwy, Mechanicsburg, PA 17050 Phone: 717-782-3282 Fax: 717-231-8964 | |
Natalie Beccone Nivar, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1995 Technology Pkwy, Mechanicsburg, PA 17050 Phone: 717-782-3282 |