Mary Kathleen Hidalgo, CRNA in Fairfax, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Mary Kathleen Hidalgo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Baycare Medical Group, Inc. and her current practice location is 3998 Fair Ridge Dr, Suite 320, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 295-9360.

Mary Kathleen Hidalgo is licensed to practice in Virginia (license number 0024167953) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821199159.

Contact Information

	Mary Kathleen Hidalgo, CRNA
	3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907
	(703) 295-9360
	(703) 295-9369

Map and Direction

Provider's Profile

Full Name	Mary Kathleen Hidalgo
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	3998 Fair Ridge Dr, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Kathleen Hidalgo graduated from nursing school in 2020

NPI Data:

NPI Number: 1821199159
Provider Enumeration Date: 09/26/2006
Last Update Date: 09/23/2008

Medicare PECOS Information:

PECOS PAC ID: 3779543301
Enrollment ID: I20210218001501

Medical Identifiers

Medical identifiers for Mary Kathleen Hidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821199159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-101930 (Alabama)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024167953 (Virginia)	Primary
367500000X	Nurse Anesthetist, Certified Registered	178681 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morton Plant Hospital	Clearwater, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Medical Group, Inc.	6406753623	1356

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Kathleen Hidalgo allows following entities to bill medicare on her behalf.

Entity Name	Gulf-to-bay Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

Entity Name	Sunshine State Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kathleen Hidalgo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary Kathleen Hidalgo, CRNA 500 Hospital Dr, Warrenton, VA 20186-3027 Ph: (540) 349-0514	Mary Kathleen Hidalgo, CRNA 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907 Ph: (703) 295-9360

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfax, VA

Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129
Kaley Lanzetta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-391-3006
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369

Mary Kathleen Hidalgo, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fairfax, VA