| Alisha Bourassa, | |
|
28 Crescent St, Middletown, CT 06457-3654 | |
| (203) 915-5701 | |
| Not Available |
| Full Name | Alisha Bourassa |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 28 Crescent St, Middletown, Connecticut |
| 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 |
|---|---|---|---|
| 1689983280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 076422 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiologists Of Middletown, P.c. | 2769479781 | 37 |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Entity Name | Woodland Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
| Entity Name | Anesthesiologists Of Middletown, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851317135 PECOS PAC ID: 2769479781 Enrollment ID: O20040429001224 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Bourassa, 79r Wildwood Cir, Durham, CT 06422-2605 Ph: (203) 915-5701 | Alisha Bourassa, 28 Crescent St, Middletown, CT 06457-3654 Ph: (203) 915-5701 |
Stacey Ann Delisle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301 | |
Kerry Alyssa Perry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 S Main St, Middletown, CT 06457 Phone: 860-347-0720 | |
Matthew Scoggins, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 51 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301 | |
Lorriane Brandolini, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301 | |
Kristen Martinez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 51 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301 | |
Dr. Marissa Blake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-6000 | |
Judith Dawe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-347-0720 Fax: 860-347-0301 |