| Mary Ann T Gardner, CRNA | |
|
200 E State St, Alliance, OH 44601-4936 | |
| (330) 596-7227 | |
| (330) 596-7214 |
| Full Name | Mary Ann T Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 E State St, Alliance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861422206 | NPI | - | NPPES |
| 0772945 | Medicaid | OH | |
| 430053337 | Other | MEDICARE RAILROAD | |
| 8206166 | Other | OH | MEDICARE PTAN |
| 000000141657 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN128882 (Ohio) | Primary |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann T Gardner, CRNA 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Mary Ann T Gardner, CRNA 200 E State St, Alliance, OH 44601-4936 Ph: (330) 596-7227 |
Patricia E Dumovic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 East State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Margaret Elizabeth Wood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-829-4000 Fax: 330-829-4533 | |
Susan C Thomas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7227 | |
Janice Ann Foley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-596-7157 Fax: 330-596-7214 | |
Theresa Lynne Roth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E State St, Alliance, OH 44601 Phone: 330-286-5330 Fax: 330-286-5396 | |
Anna M Lang-clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 | |
Barbara M Mastriana, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 E. State Street, Alliance, OH 44601 Phone: 330-596-6000 Fax: 330-596-7214 |