| Mary Kathleen Magnusen, CRNA | |
|
1915 E Rezanof Dr, Kodiak, AK 99615 | |
| (907) 486-9500 | |
| Not Available |
| Full Name | Mary Kathleen Magnusen |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1915 E Rezanof Dr, Kodiak, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750427902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NURA325 (Alaska) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kathleen Magnusen, CRNA Po Box 3706, Portland, OR 97208-3706 Ph: (866) 907-1068 | Mary Kathleen Magnusen, CRNA 1915 E Rezanof Dr, Kodiak, AK 99615 Ph: (907) 486-9500 |
Cynthia M Parent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-223-7513 | |
Tara E Bonardi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 774-239-4106 | |
Scott Allen Carver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1915 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-3281 Fax: 907-684-0421 |