| Walter Vlado Spasevski, CRNA | |
|
8701 Broadway # C-124, Merrillville, IN 46410-7035 | |
| (219) 738-4929 | |
| Not Available |
| Full Name | Walter Vlado Spasevski |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 8701 Broadway # C-124, Merrillville, Indiana |
| 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 |
|---|---|---|---|
| 1346340460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28118984A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Anesthesia Pc | 1951322353 | 24 |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | Lakeshore Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Ams Northern Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Vlado Spasevski, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Walter Vlado Spasevski, CRNA 8701 Broadway # C-124, Merrillville, IN 46410-7035 Ph: (219) 738-4929 |
Natalie Elizabeth Mieras, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-4929 | |
Ms. Samia Katherine Esseddiqi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-5500 | |
Jeremy S Newell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-4929 | |
Crisologo Rosel Gozo, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-4929 | |
David Anthony Miles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway # C-124, Merrillville, IN 46410 Phone: 219-738-4929 | |
Melinda M Rayter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8701 Broadway, Merrillville, IN 46410 Phone: 219-738-4929 |