Mary E Thies, CRNA, MSNA | |
3600 Broadway, Oakland, CA 94611-5730 | |
(510) 752-1000 | |
Not Available |
Full Name | Mary E Thies |
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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 |
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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 | |
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 | |
Rhaven Danielle Mciver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave, Oakland, CA 94609 Phone: 510-879-9200 | |
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 |