| Brian Cidado, | |
| 
					55 Lake Ave N, Worcester, MA 01655-0002  | |
| () - | |
| Not Available | 
| Full Name | Brian Cidado | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 55 Lake Ave N, Worcester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669112231 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2297494 (Massachusetts) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | RN2297494 (Massachusetts) | Primary | 
| Entity Name | Umass Memorial Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brian Cidado, 140 Commonwealth Ave, Chestnut Hill, MA 02467-3858 Ph: (617) 552-2756  | Brian Cidado, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: () -  | 
Ewa Hryniszyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911  | |
David V. Capite, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6491  | |
Ms. Marilee Lorraine Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911  | |
Jaclyn T. Vonbleicken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911  | |
Leanne L Chabior, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-856-3242  | |
Brianna L. Muller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911  | |
Jennifer Anne Foley,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000  |