| Susan Shenkosky, CRNA | |
|
1200 N State St, Ipt, Room C4e100, Los Angeles, CA 90033-1029 | |
| (323) 409-4597 | |
| (323) 441-8085 |
| Full Name | Susan Shenkosky |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1200 N State St, Los Angeles, California |
| 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 |
|---|---|---|---|
| 1699104976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020187 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 712121 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sterling Anesthesia Group Pllc | 5496917593 | 6 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
| Entity Name | Macomb Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639248206 PECOS PAC ID: 2860486388 Enrollment ID: O20040408001058 |
| Entity Name | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Henry Ford West Bloomfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 |
| Entity Name | Sterling Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710251541 PECOS PAC ID: 5496917593 Enrollment ID: O20120508000138 |
| Entity Name | Michigan Crnas Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851666424 PECOS PAC ID: 7416105226 Enrollment ID: O20120920000441 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Novi Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| Entity Name | Glps Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Shenkosky, CRNA 1200 N State St, Ipt, Room C4e100, Los Angeles, CA 90033-1029 Ph: (323) 409-4597 | Susan Shenkosky, CRNA 1200 N State St, Ipt, Room C4e100, Los Angeles, CA 90033-1029 Ph: (323) 409-4597 |
Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 | |
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411 | |
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411 | |
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 | |
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622 |