| Marcia Bourque-moreno, CRNA | |
|
25 Wells St, Westerly, RI 02891-2922 | |
| (401) 596-6000 | |
| Not Available |
| Full Name | Marcia Bourque-moreno |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 53 Years |
| Location | 25 Wells St, Westerly, Rhode Island |
| 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 |
|---|---|---|---|
| 1902808843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 193379 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN01004 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South County Hospital Inc | Wakefield, RI | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Narragansett Bay Anesthesia Llc | 5991774929 | 86 |
| 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: O20040928000003 |
| Entity Name | University Gastroenterology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386952612 PECOS PAC ID: 3678762804 Enrollment ID: O20110104000826 |
| Entity Name | South County Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790193522 PECOS PAC ID: 2062735053 Enrollment ID: O20141224000069 |
| Entity Name | Anesthesia Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346443 PECOS PAC ID: 0042297582 Enrollment ID: O20150428001290 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594 |
| Entity Name | Mvp Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477507598 PECOS PAC ID: 5799734208 Enrollment ID: O20171010000383 |
| Entity Name | Icon Anesthesia Services Of New England Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20210923001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Bourque-moreno, CRNA 74 Cleveland St, Norfolk, MA 02056-1048 Ph: (508) 520-2302 | Marcia Bourque-moreno, CRNA 25 Wells St, Westerly, RI 02891-2922 Ph: (401) 596-6000 |
Eric D Lawton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25 Wells St, Westerly, RI 02891 Phone: 401-596-6000 | |
Mrs. Janet M Fetherston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25 Wells St, Westerly, RI 02891 Phone: 401-596-6000 | |
Edward Curtis Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25 Wells St, Westerly, RI 02891 Phone: 860-204-6167 |