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

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 15 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



Provider's Profile

Full NameStephanie M Damitio
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location15190 Community Rd Ste 230a, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1447585435NPI-NPPES
R877698OtherMSLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R876698 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Anesthesia Service Pa20628497636

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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 NameCoastal Anesthesia Service Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255971016
PECOS PAC ID: 2062849763
Enrollment ID: O20200218002746

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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 AddressPractice 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

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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    

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