HealthDirectory.us

Mica Vanfossen

• Female

Medical Specialty

• Certified Registered Nurse Anesthetist

Professional ID

• NPI: 1538117130
• PECOS ID: 4587606520
• Enrollment ID: I20160616002694
• Credential(MD, DO, DPM): CNA
• Medical School:
• Medical School Graduation Year: 1990

Hospital Service

• Hospital CCN1: 360066
• Business Name (LBN)1: St Ritas Medical Center
• Hospital CCN2: 510001
• Business Name (LBN)2: West Virginia University Hospitals

Medical Practices

• Organization Name: West Virginia University Medical Corporation
• Group Practice ID assigned by PECOS: 1052224565
• Number of Group Practice member: 943

Location

• Address1: 1 Medical Ctr Dr
• Address2:
• City: Morgantown
• State: West Virginia
• Zip Code: 26506
• Phone Number: (304)598-4865

Location

• Address1: 930 Chestnut Ridge Rd
• Address2:
• City: Morgantown
• State: West Virginia
• Zip Code: 26505
• Phone Number: (304)293-5299

Medical Practices

• Organization Name: Anesthesia Associates Of Lima Inc
• Group Practice ID assigned by PECOS: 4486553013
• Number of Group Practice member: 55

Location

• Address1: 730 W Market St
• Address2:
• City: Lima
• State: Ohio
• Zip Code: 45801
• Phone Number: (419)277-3361

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR):