Jessica Whitacre (NPI# 1578006946, PAC ID# 4789960857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1578006946 |
| PAC ID by PECOS | 4789960857 |
| Professional Enrollment ID | I20170404002816 |
| Full Name | Jessica Whitacre |
| Organization Legal Name | SOMERSET ANESTHESIA INCORPORATED |
| Address |
225 S Ctr Ave Somerset PA 15501-2088 |
| Phone Number | 8144435000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648436071 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390039 | SOMERSET HOSPITAL |
| 390112 | WINDBER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 S Ctr Ave, Somerset, PA 15501-2088 | 8144435000 | SOMERSET ANESTHESIA INCORPORATED |
| 600 Somerset Ave, Windber, PA 15963-1331 | 8144673000 | FINK ANESTHESIA INC |
| Organization Legal Name | SOMERSET ANESTHESIA INCORPORATED |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee Michelle Young | Anesthesiology | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Jonathan R Thiele | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Randy J Johnson | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Kelly A Eaglehouse | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Chelsi Mcilwain | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Tamera J Waggle | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Mokbel Matta | Anesthesiology | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Krystyna L Mccabe | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Leigh A Craig | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Mollie Ann Dran | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Street Address |
225 S CTR AVE |
| City | SOMERSET |
| State | PA |
| Zip | 15501-2088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anjaneyul Karumudi | Psychiatry | Upmc Somerset | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Munir Ahmed Khan | Hospitalist | University of Pittsburgh Physicians | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Renee Michelle Young | Anesthesiology | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Mark P Ferris | Physician Assistant | University of Pittsburgh Physicians | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Paul Depippo | Diagnostic Radiology | Foundation Radiology Group PC | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Sana Khan | Hospitalist | University of Pittsburgh Physicians | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Samer M Fadl | Diagnostic Radiology | Foundation Radiology Group PC | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Richard Cornish | General Surgery | University of Pittsburgh Physicians | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Jonathan R Thiele | Certified Registered Nurse Anesthetist (crna) | Somerset Anesthesia Incorporated | 225 S Ctr Ave, Somerset, PA 15501-2088 |
| Nilesh K Patil | Orthopedic Surgery | University of Pittsburgh Physicians | 225 S Ctr Ave, Somerset, PA 15501-2033 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Haberman | Psychologist, Clinical | 1101 W Main St, Somerset, PA 15501-0914 | |
| Anthony J Giampolo | Neurology | 792 N Ctr Ave, Somerset, PA 15501-1026 | |
| Tanya Sargent | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Christopher M Ciccarelli | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| John T Brennan | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Dariusz R Pierko | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Lee T Dirienzo | Physician Assistant | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Ronald Justin Beal | Clinical Social Worker | 445 Westridge Rd, Suite 103, Somerset, PA 15501-1148 | |
| Julie M Huston | Certified Nurse Midwife (cnm) | 867 W Main St, Somerset, PA 15501-1235 | |
| David C Rascona | Physical Therapy | Rascona Physical Therapy LLC | 917 W Main St, Somerset, PA 15501-1247 |
| Find all physicians in zip 15501 | |||
| City | SOMERSET |
| Zip Code | 15501 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SOMERSET + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jessica Whitacre.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.