Stephanie M Damitio, CRNA in Gulfport, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Stephanie M Damitio, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 2009 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Coastal Anesthesia Service Pa and her current practice location is 15190 Community Rd Ste 230a, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 831-0204.

Stephanie M Damitio is licensed to practice in Mississippi (license number R876698) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447585435.

Contact Information

	Stephanie M Damitio, CRNA
	15190 Community Rd Ste 230a, Gulfport, MS 39503-3483
	(228) 831-0204
	(228) 831-1868

Map and Direction

Provider's Profile

Full Name	Stephanie M Damitio
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	15190 Community Rd Ste 230a, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie M Damitio attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2009

NPI Data:

NPI Number: 1447585435
Provider Enumeration Date: 10/08/2009
Last Update Date: 11/04/2009

Medicare PECOS Information:

PECOS PAC ID: 8729121058
Enrollment ID: I20100208000685

Medical Identifiers

Medical identifiers for Stephanie M Damitio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447585435	NPI	-	NPPES
R877698	Other	MS	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R876698 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Anesthesia Service Pa	2062849763	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie M Damitio allows following entities to bill medicare on her behalf.

Entity Name	Coastal Anesthesia Service Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255971016 PECOS PAC ID: 2062849763 Enrollment ID: O20200218002746

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie M Damitio is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie M Damitio, CRNA 15190 Community Rd Ste 230a, Gulfport, MS 39503-3483 Ph: (228) 831-0204	Stephanie M Damitio, CRNA 15190 Community Rd Ste 230a, Gulfport, MS 39503-3483 Ph: (228) 831-0204

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Jason Wells, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3281 Fax: 228-867-5117
Victor P Polito, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Glen Deitrick, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Glen Michael Cavalier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Julie K Klester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Trinh Thu Weatherly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000

Stephanie M Damitio, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulfport, MS