Tara E Bonardi, | |
2500 S Woodworth Loop, Palmer, AK 99645-8984 | |
(907) 861-6000 | |
Not Available |
Full Name | Tara E Bonardi |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 2500 S Woodworth Loop, Palmer, 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 |
---|---|---|---|
1528615424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 148835 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alaska Regional Hospital | Anchorage, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Denali Anesthesia, P.c. | 2567455678 | 28 |
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 | Anesthesia Care Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160452 PECOS PAC ID: 0446244388 Enrollment ID: O20040413000787 |
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 |
Mailing Address | Practice Location Address |
---|---|
Tara E Bonardi, 43 Proctor St Apt 1, Worcester, MA 01606-2730 Ph: (774) 239-4106 | Tara E Bonardi, 2500 S Woodworth Loop, Palmer, AK 99645-8984 Ph: (907) 861-6000 |
Kirk Jason Nash, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 Fax: 907-861-6559 | |
Mrs. Jennifer Kay Lent, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6630 | |
Roy Fukuoka, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-227-0162 | |
Chester Joseph Witczak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 717-968-7149 Fax: 907-745-0200 | |
Judy L Ward-deits, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |