| Kathleen Anne Evangelista, CRNA | |
|
58 Orlando Ave, Winthrop, MA 02152-2248 | |
| (617) 846-1982 | |
| Not Available |
| Full Name | Kathleen Anne Evangelista |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 58 Orlando Ave, Winthrop, Massachusetts |
| 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 |
|---|---|---|---|
| 1548564149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN213785 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Mount Auburn Hospital | Cambridge, MA | Hospital |
| New England Baptist Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 559 |
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1683 |
| Winchester Anesthesia Associates 2 Inc | 2264848977 | 12 |
| Winchester Anesthesia Associates, Inc | 7315977196 | 58 |
| Entity Name | Winchester Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972626117 PECOS PAC ID: 7315977196 Enrollment ID: O20050822000530 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Entity Name | Winchester Anesthesia Associates 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427599588 PECOS PAC ID: 2264848977 Enrollment ID: O20210304000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Anne Evangelista, CRNA 58 Orlando Ave, Winthrop, MA 02152-2248 Ph: (617) 846-1982 | Kathleen Anne Evangelista, CRNA 58 Orlando Ave, Winthrop, MA 02152-2248 Ph: (617) 846-1982 |