| Erica Domingo, | |
|
55 Fruit St, Boston, MA 02114-2621 | |
| (617) 643-4535 | |
| Not Available |
| Full Name | Erica Domingo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 55 Fruit St, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205258654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2289966 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 440 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3085 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The Shriners Hospital For Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285078444 PECOS PAC ID: 5496947301 Enrollment ID: O20131219000781 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Domingo, 20 Guyencourt Rd, Wilmington, DE 19807-1416 Ph: () - | Erica Domingo, 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 643-4535 |
Mr. John Crawford Welch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115 Phone: 857-218-5770 | |
Sophia N. Townsend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 | |
Lorrie-jeanne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215 Phone: 617-667-3110 Fax: 617-667-5013 | |
Colleen Mcartor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111 Phone: 617-636-5000 | |
Ms. Ann Marie Nichols-stout, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8995 | |
Susan Maher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114 Phone: 617-726-3030 | |
Amy T. Moor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 |