| Brian Fenn, CRNA | |
|
275 Sandwich St, Plymouth, MA 02360 | |
| (508) 746-2000 | |
| Not Available |
| Full Name | Brian Fenn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 41 Years |
| Location | 275 Sandwich St, Plymouth, Massachusetts |
| 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 |
|---|---|---|---|
| 1891779732 | NPI | - | NPPES |
| 0810500 | Medicaid | OH | |
| 3134668 | Medicaid | NH | |
| 74382060 | Medicaid | KY | |
| 000000179713 | Other | ANTHEM BLUE SHIELD | |
| 200419580 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN174475 (Massachusetts) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 062441-23 (New Hampshire) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winchester Anesthesia Associates, Inc | 7315977196 | 40 |
| Entity Name | Winchester Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972626117 PECOS PAC ID: 7315977196 Enrollment ID: O20050822000530 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Entity Name | Winchester Anesthesia Associates 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427599588 PECOS PAC ID: 2264848977 Enrollment ID: O20210304000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Fenn, CRNA 275 Sandwich St, Plymouth, MA 02360-2183 Ph: (508) 746-2000 | Brian Fenn, CRNA 275 Sandwich St, Plymouth, MA 02360 Ph: (508) 746-2000 |
Patrick Linehan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-830-2113 | |
Elizabeth Wittenstein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 40 Industrial Park Rd, Plymouth, MA 02360 Phone: 508-746-8600 | |
Robert Gauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40 Industrial Park Rd, Plymouth, MA 02360 Phone: 508-746-8600 | |
Rachel M Hammerschmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 176-673-1106 Fax: 617-754-8791 | |
Victoria Gohh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000 | |
Mr. John C. Cona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000 | |
Diane R Bauer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-830-2113 Fax: 781-407-0998 |