Colonie ASC LLC
A Medicare group practice based in Latham, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2860766086), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2860766086
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 2
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170926003286 | NY | Part B Supplier - Ambulatory Surgical Center | 1316499452 |
| O20251219000571 | NY | Part B Supplier - Clinic/Group Practice | 1013883982 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Colonie ASC LLC
- Certified Registered Nurse Anesthetist
- Latham, NY
- NPI 1013883982
-
Colonie ASC LLC
dba Specialty Eye Surgery & Laser Center of the Capital Region
- Ambulatory Surgical Clinic/Center
- Colonie, NY
- NPI 1316499452
Practice locations
- Latham, NY2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (8).
-
Aaron Goertzen, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1588116537
-
Dayna Rose Hansen, CRNA
- Certified Registered Nurse Anesthetist
- Troy, NY
- NPI 1912431313
-
Leslie Stepp Lamar, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1306149042
-
Kellie Mann, CRNA
- Certified Registered Nurse Anesthetist
- Schenectady, NY
- NPI 1184167462
-
Zachery Pezze, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1598277204
-
Danielle Redmond, CRNA
- Certified Registered Nurse Anesthetist
- Schenectady, NY
- NPI 1124492616
-
Daniel Ross Waskiewicz
- Registered Nurse
- Albany, NY
- NPI 1679350706
-
Jacob A Yellen, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1396172888
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.