| Sophia P Koumaras, CRNA | |
|
1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | |
| (215) 938-3413 | |
| (215) 938-3422 |
| Full Name | Sophia P Koumaras |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1648 Huntingdon Pike, Meadowbrook, Pennsylvania |
| 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 |
|---|---|---|---|
| 1295064053 | NPI | - | NPPES |
| 084390 | Other | AANA CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN563670 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Bay Anesthesia Llc | 3779717491 | 3 |
| Amsurg Lewes Anesthesia Llc | 6507003654 | 5 |
| Entity Name | Delaware Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578618930 PECOS PAC ID: 6305825894 Enrollment ID: O20040719000033 |
| Entity Name | Amsurg Lewes Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437497930 PECOS PAC ID: 6507003654 Enrollment ID: O20130508000349 |
| Entity Name | Upper Bay Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912330283 PECOS PAC ID: 3779717491 Enrollment ID: O20131015001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia P Koumaras, CRNA 1650 Huntingdon Pike, Suite 313, Meadowbrook, PA 19046-8004 Ph: (215) 938-3413 | Sophia P Koumaras, CRNA 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 Ph: (215) 938-3413 |
Michael Savage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3413 Fax: 215-938-3422 | |
William Philip Dipietro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3413 Fax: 215-938-3422 | |
Abigail Derrig, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3413 Fax: 215-938-3422 | |
Amanda Marie Conley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-947-3000 | |
Joanne R Boyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3413 | |
Richard Samuel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3413 Fax: 215-938-3422 |