| Coreen Tanner, | |
|
22 Bramhall St, Portland, ME 04102-3134 | |
| (207) 662-2526 | |
| Not Available |
| Full Name | Coreen Tanner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 22 Bramhall St, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972095859 | NPI | - | NPPES |
| 0000000 | Other |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA203057 (Maine) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor, ME | Hospital |
| St Joseph Hospital | Nashua, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amoskeag Anesthesia Pllc | 1759375983 | 165 |
| Eastern Maine Medical Center | 2062315161 | 659 |
| Entity Name | Amoskeag Anesthesia PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104883511 PECOS PAC ID: 1759375983 Enrollment ID: O20040513001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Coreen Tanner, 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-2526 | Coreen Tanner, 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-2526 |
Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |
Matthew Scott Austin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526 |
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |
Katherine Rioux, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 |
Robert Montague, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |
Andrey Artamonov, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236 |