Mary Kathleen Magnusen, CRNA | |
1915 E Rezanof Dr, Kodiak, AK 99615 | |
(907) 486-9500 | |
Not Available |
Full Name | Mary Kathleen Magnusen |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 1915 E Rezanof Dr, Kodiak, Alaska |
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 |
---|---|---|---|
1750427902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NURA325 (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 5799675120 | 15 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
Entity Name | Denali Anesthesia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
Entity Name | Birch Mountain Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558840306 PECOS PAC ID: 4981957792 Enrollment ID: O20181024002876 |
Entity Name | Kenai Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861032914 PECOS PAC ID: 6901235118 Enrollment ID: O20200408003725 |
Mailing Address | Practice Location Address |
---|---|
Mary Kathleen Magnusen, CRNA Po Box 3706, Portland, OR 97208-3706 Ph: (866) 907-1068 | Mary Kathleen Magnusen, CRNA 1915 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-9500 |
Cynthia M Parent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-223-7513 | |
Scott Allen Carver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-684-0421 |