| Mary E Thies, CRNA, MSNA | |
|
3600 Broadway, Oakland, CA 94611-5730 | |
| (510) 752-1000 | |
| Not Available |
| Full Name | Mary E Thies |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3600 Broadway, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912154642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002199 (California) | Primary |
| 163W00000X | Registered Nurse | 95109953 (California) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Thies, CRNA, MSNA Po Box 1324, El Cerrito, CA 94530-1324 Ph: (509) 998-8590 | Mary E Thies, CRNA, MSNA 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1000 |
Diana Hiros, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Annette Chenevey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
David P Birch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Noelle Hennig, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3100 Telegraph Ave, Oakland, CA 94609 Phone: 510-879-9200 | |
Sandra Sue Schmit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Ray Neil Mitsuno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Mrs. Polly Van Sant Soler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 510-625-6262 |