| James Egan, | |
|
2100 Dorchester Ave, Dorchester Center, MA 02124-5615 | |
| (617) 298-4632 | |
| (617) 296-6919 |
| Full Name | James Egan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 2100 Dorchester Ave, Dorchester Center, Massachusetts |
| 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 |
|---|---|---|---|
| 1558326868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 162501 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matrix Anesthesia Pc | 8820136377 | 43 |
| Entity Name | Matrix Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700028032 PECOS PAC ID: 8820136377 Enrollment ID: O20091210000301 |
| Mailing Address | Practice Location Address |
|---|---|
| James Egan, 340 Main Street, Suite 670, Worcester, MA 01608-1604 Ph: (508) 754-3566 | James Egan, 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 Ph: (617) 298-4632 |
Henry Thomas Howard, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Theresa Caron Bognanno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Maureen Nickerson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Richard Downey, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Susan Joyce, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 | |
Laura Weiner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-298-4632 Fax: 617-296-6919 |