| Carly Ann Koerner, CRNA | |
|
80 Seymour St, Hartford, CT 06102-8000 | |
| (860) 545-5000 | |
| Not Available |
| Full Name | Carly Ann Koerner |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 80 Seymour St, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396374609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 100497 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 100497 (Connecticut) | Primary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | North American Partners In Anesthesia Massachusetts Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457867020 PECOS PAC ID: 8820350713 Enrollment ID: O20180312001704 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Ann Koerner, CRNA 101 Page Street, Longmeadow, MA 01106-1420 Ph: (413) 636-7798 | Carly Ann Koerner, CRNA 80 Seymour St, Hartford, CT 06102-8000 Ph: (860) 545-5000 |
Jessica Mcewan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Alison Couture Wyse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-5000 | |
Elaine Lacanilao, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Catherine Ann Chakar-iyengar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 114 Woodland St, Woodland Anesthesiology Associates Pc, Hartford, CT 06105 Phone: 860-614-6654 Fax: 860-714-8110 | |
Malgorzata Majewski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 | |
Jillian Dziedzic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Rachel Nicole Rodrigue, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 |