| Christen M Mahoney, AA | |
|
11100 Euclid Ave, Cleveland, OH 44106-1716 | |
| (216) 844-1000 | |
| Not Available |
| Full Name | Christen M Mahoney |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 11100 Euclid Ave, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043446040 | NPI | - | NPPES |
| 1043446040 | Other | NC | TRICARE - NORTH REGION |
| 8000500 | Medicaid | NC | |
| P00742945 | Other | NC | RAILROAD MEDICARE |
| P01013330 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 10000-00231 (North Carolina) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 67.000185 (Ohio) | Primary |
| Entity Name | Consultant Anesthesiologists Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457420580 PECOS PAC ID: 3577467109 Enrollment ID: O20031125000053 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Christen M Mahoney, AA 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-1000 | Christen M Mahoney, AA 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-1000 |
Shannon Kelly, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Cailey Tingler, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Brian Michael Wheatley, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Nicole M Moses, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Michael Marcotte, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Thomas Bruno, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330 | |
Gregory G Kychun, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-7330 |