| Brian Bao Le, CRNA | |
|
489 State St, Bangor, ME 04401-6616 | |
| (207) 973-4519 | |
| (207) 992-4132 |
| Full Name | Brian Bao Le |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 489 State St, Bangor, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982718615 | NPI | - | NPPES |
| ME183803 | Other | ME | MEDICARE P-TAN FOR BHMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 51629 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Blue Eagle Anesthesia Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396822326 PECOS PAC ID: 3577613017 Enrollment ID: O20090604000185 |
| Entity Name | Maitran Consulting Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bao Le, CRNA 51 Harborside Rd, Harborside, ME 04642-3003 Ph: (207) 992-4032 | Brian Bao Le, CRNA 489 State St, Bangor, ME 04401-6616 Ph: (207) 973-4519 |
Jaime Lee Naughton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 | |
Susan Lind, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 | |
Mrs. Elizabeth R Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 | |
Jesse Knowlton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508 | |
Mr. Timothy F Gale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 | |
Patricia L. Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-973-4519 | |
Daniel S Groves, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132 |