| Alexandra Nicole Mazzaro, CAA | |
|
9263 Medical Plaza Dr Ste E, Charleston, SC 29406-7112 | |
| (843) 572-1228 | |
| Not Available |
| Full Name | Alexandra Nicole Mazzaro |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 9263 Medical Plaza Dr Ste E, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811791981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Entity Name | Coastal Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942252176 PECOS PAC ID: 9032022744 Enrollment ID: O20031110000173 |
| Entity Name | Trident Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Nicole Mazzaro, CAA 1310 Meeting Street Rd Unit 517, Charleston, SC 29405-9462 Ph: (330) 304-7857 | Alexandra Nicole Mazzaro, CAA 9263 Medical Plaza Dr Ste E, Charleston, SC 29406-7112 Ph: (843) 572-1228 |
Jordan Moeller, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Kathryn L Childress, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Katherine E Ali, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Mrs. Ashley Nicole O'donnell, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 | |
Robert Converse, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Erin Alene Grevey, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Mrs. Shanna Y Trahan, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 |