| Keith E Macksoud, CRNA | |
|
1817 Old Louisquisset Pike, Lincoln, RI 02865-4516 | |
| (401) 727-2443 | |
| (401) 729-3476 |
| Full Name | Keith E Macksoud |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 40 Years |
| Location | 1817 Old Louisquisset Pike, Lincoln, Rhode Island |
| 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 |
|---|---|---|---|
| 1659346740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA24719 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sturdy Memorial Hospital | Attleboro, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Anesthesia Pc | 9638255300 | 31 |
| Entity Name | Narragansett Bay Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20050714000216 |
| Entity Name | Atlantic Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700061652 PECOS PAC ID: 9638255300 Enrollment ID: O20080320000208 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith E Macksoud, CRNA 1817 Old Louisquisset Pike, Lincoln, RI 02865-4516 Ph: (401) 727-2443 | Keith E Macksoud, CRNA 1817 Old Louisquisset Pike, Lincoln, RI 02865-4516 Ph: (401) 727-2443 |
Michael Paul Audette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17 E Butterfly Way, Lincoln, RI 02865 Phone: 401-723-3127 | |
Ms. Julie Ann Gemma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Reverie Ln, Lincoln, RI 02865 Phone: 401-640-9480 |