| Mary Anyzeski, CRNA | |
|
349 N Main St, Andover, MA 01810-2687 | |
| (978) 475-0959 | |
| Not Available |
| Full Name | Mary Anyzeski |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 349 N Main St, Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033316138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 129089 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 129089 (Massachusetts) | Primary |
| Entity Name | Anesthesia Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346443 PECOS PAC ID: 0042297582 Enrollment ID: O20040702000303 |
| Entity Name | Ivs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740440163 PECOS PAC ID: 9537233010 Enrollment ID: O20081201000530 |
| Entity Name | Jjm Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952548265 PECOS PAC ID: 6800950312 Enrollment ID: O20090128000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Anyzeski, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713 | Mary Anyzeski, CRNA 349 N Main St, Andover, MA 01810-2687 Ph: (978) 475-0959 |
Mr. Robert A Keller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 349 N Main St, Cataract Laser Center, Andover, MA 01810 Phone: 978-475-0959 | |
Richard A Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 138 Haverhill St, Andover, MA 01810 Phone: 978-296-2302 Fax: 978-296-2304 |