| Brian R Doucette, CRNA | |
|
164 Silver Lake Ave, Wakefield, RI 02879-4224 | |
| (401) 744-4900 | |
| Not Available |
| Full Name | Brian R Doucette |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 164 Silver Lake Ave, Wakefield, Rhode Island |
| 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 |
|---|---|---|---|
| 1285220012 | NPI | - | NPPES |
| 110170927A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2332347 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sovah Health Danville | Danville, VA | Hospital |
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| The Moses H Cone Memorial Hospital Operating Corporation | 6204744600 | 599 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R Doucette, CRNA 164 Silver Lake Ave, Wakefield, RI 02879-4224 Ph: () - | Brian R Doucette, CRNA 164 Silver Lake Ave, Wakefield, RI 02879-4224 Ph: (401) 744-4900 |
Mrs. Christine Schwab-boudreau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Oakwoods Dr, Wakefield, RI 02879 Phone: 401-792-8190 | |
Mr. George Frank Brinius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 410-782-8000 |