| Sabrina Provvidenza Vitale-d'angelo, CRNA | |
|
709 W Main St, Manchester, IA 52057-1526 | |
| (563) 927-7457 | |
| (563) 927-7457 |
| Full Name | Sabrina Provvidenza Vitale-d'angelo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 709 W Main St, Manchester, Iowa |
| 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 |
|---|---|---|---|
| 1962088104 | NPI | - | NPPES |
| D175517 | Other | IA | STATE LICENSE |
| MV8194843 | Other | IA | DEA |
| 5208192 | Other | IA | CSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D175517 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Buchanan County Health Center | Independence, IA | Hospital |
| Regional Medical Center | Manchester, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Gi Pc | 2567930985 | 22 |
| Peoples Memorial Hospital | 9931010790 | 47 |
| State University Of Iowa | 7618884230 | 1886 |
| Delaware County Memorial Hospital | 2062316375 | 80 |
| Entity Name | State University of Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
| Entity Name | Peoples Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336281245 PECOS PAC ID: 9931010790 Enrollment ID: O20031118000161 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | St Lukes Jones Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942397328 PECOS PAC ID: 4688572811 Enrollment ID: O20031226000198 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801818661 PECOS PAC ID: 5890607691 Enrollment ID: O20040109000930 |
| Entity Name | Guttenberg Municipal Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386679793 PECOS PAC ID: 6901709476 Enrollment ID: O20040130000960 |
| Entity Name | Virginia Gay Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164486726 PECOS PAC ID: 1759290331 Enrollment ID: O20061104000112 |
| Entity Name | Sumner Community Club |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780684548 PECOS PAC ID: 5890607691 Enrollment ID: O20061104000206 |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750354676 PECOS PAC ID: 2062316375 Enrollment ID: O20061104000326 |
| Entity Name | St Lukes Jones Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164514741 PECOS PAC ID: 4688572811 Enrollment ID: O20061104000485 |
| Entity Name | New Gi PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427996404 PECOS PAC ID: 2567930985 Enrollment ID: O20260505000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Sabrina Provvidenza Vitale-d'angelo, CRNA Po Box 359, Manchester, IA 52057-0359 Ph: (563) 927-7457 | Sabrina Provvidenza Vitale-d'angelo, CRNA 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7457 |
Isaac Albert Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Collin James Willhite, CRNA DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 319-368-3625 |
David Mark Huether, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 17893 224th St, Manchester, IA 52057 Phone: 563-927-6183 Fax: 563-927-6183 |
James Oliver Cody, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Sarah Cisco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Regional Medical Center, 709 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Tara Steinbronn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-927-6183 |
Ms. Anne Meyer-mccright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 |