| Carine Plymouth, NP, CRNA | |
|
150 York St, Stoughton, MA 02072-1829 | |
| (781) 344-0600 | |
| Not Available |
| Full Name | Carine Plymouth |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 150 York St, Stoughton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295889681 | NPI | - | NPPES |
| 110099918A | Medicaid | MA | |
| 110099918B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN201984 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN201984 (Massachusetts) | Primary |
| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Carine Plymouth, NP, CRNA 74 Howland St, Brockton, MA 02302-2855 Ph: () - | Carine Plymouth, NP, CRNA 150 York St, Stoughton, MA 02072-1829 Ph: (781) 344-0600 |
Elizabeth Ann Brady, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 909 Sumner St, Stoughton, MA 02072 Phone: 781-344-2325 | |
Kimberly A Amouzgar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 Plain Drive, C/o Ma Anesthesia Corp., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8269 | |
Marion Bragdon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 907 Sumner St, Suite M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Michael Sera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St, M201, Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Jacob Heeter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 907 Sumner St. Suite M201, Guardian Anesthesia Inc., Stoughton, MA 02072 Phone: 781-344-2325 Fax: 781-341-8544 | |
Catherine C Eberly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 | |
Janet C Paninski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 255 Plain Drive, Massachusetts Anesthesia Corp., Stoughton, MA 02072 Phone: 781-341-3966 Fax: 781-341-8269 |