| Mary Kathleen Magnusen, CRNA | |
|
1915 E Rezanof Dr, Kodiak, AK 99615 | |
| (907) 486-9500 | |
| Not Available |
| Full Name | Mary Kathleen Magnusen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 1915 E Rezanof Dr, Kodiak, Alaska |
| 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 |
|---|---|---|---|
| 1750427902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NURA325 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 5799675120 | 30 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
| Entity Name | Denali Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
| 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 |