| Timothy Charles Brunelle, CRNA | |
|
730 W Market St, Lima, OH 45801-4602 | |
| (419) 234-9214 | |
| Not Available |
| Full Name | Timothy Charles Brunelle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 730 W Market St, Lima, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740767300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.346597 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019764 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Lima Inc | 4486553013 | 46 |
| Entity Name | Anesthesia Associates Of Lima Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487662300 PECOS PAC ID: 4486553013 Enrollment ID: O20040102000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Charles Brunelle, CRNA 2930 Oak Hill Ct, Lima, OH 45805-4474 Ph: (419) 371-3456 | Timothy Charles Brunelle, CRNA 730 W Market St, Lima, OH 45801-4602 Ph: (419) 234-9214 |
Mr. Charles Joseph Bouis Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-222-0328 | |
Mr. Storm Wayne Sharp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 Fax: 419-228-3352 | |
Timothy Keener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2923 Lilly Dr, Lima, OH 45807 Phone: 419-909-1001 | |
Jarrod Genther, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary Kay Woolsey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Mr. Adam Reidenbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary A Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 W High St # 5, Lima, OH 45801 Phone: 419-998-4573 |