| Mary Ezem, CRNA | |
|
160 Nw 170th St, North Miami Beach, FL 33169-5521 | |
| (305) 654-5025 | |
| Not Available |
| Full Name | Mary Ezem |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 160 Nw 170th St, North Miami Beach, Florida |
| 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 |
|---|---|---|---|
| 1952681280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9169221 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Health System | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Health Trust Of Miami Dade County Florida | 0244380434 | 392 |
| Entity Name | Public Health Trust Of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019 |
| Entity Name | Palmetto Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235434275 PECOS PAC ID: 9032393848 Enrollment ID: O20110401000626 |
| Entity Name | Atlantic Anesthesia Group One Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831663681 PECOS PAC ID: 1052653276 Enrollment ID: O20190508001336 |
| Entity Name | Ezem Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104442664 PECOS PAC ID: 3577987189 Enrollment ID: O20200715002779 |
| Entity Name | Nova Medical Services - Anesthesiology Division Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245043835 PECOS PAC ID: 4284156613 Enrollment ID: O20250314002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ezem, CRNA 160 Nw 170th St, North Miami Beach, FL 33169-5521 Ph: (305) 654-5025 | Mary Ezem, CRNA 160 Nw 170th St, North Miami Beach, FL 33169-5521 Ph: (305) 654-5025 |
Irene A. Ahorlu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-651-1100 | |
Ms. Theresa A. Heffernan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-654-3041 | |
Ms. Gigi Westephalie Mchale, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1230 Ne 161st St, North Miami Beach, FL 33162 Phone: 305-305-9273 |